Theo Atlas Fontenot

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3001 Harvest Hills Dr Apt 315
Williston, ND 58801-2670

Phone

(701) 705-0868

NPI assigned

Aug 1, 2022

Reactivated

Sep 18, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Lindsey Marie O'Neal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1679200638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HARVEST HILLS DR APT 315",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012670",
            "telephone_number": "701-705-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HARVEST HILLS DR APT 315",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012670",
            "telephone_number": "701-705-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "THEO",
        "middle_name": "ATLAS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2022-08-01",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "deactivation_date": "2024-09-03",
        "reactivation_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "O'NEAL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fisher Orthodontics PLLC
• Anthony Edgar Fisher, D.D.S
• Paige Fisketjon, DDS
• Kaylee Fletcher
• Amy Folvag, PTA
• Tanya M Fox, LAC
• Yolanda Fransen
• Megan Marie Freeman
• Erika Frey
• Queen Elizabeth Fugah, DNP

• Personal Care Attendant in Williston, ND
• Providers in Williston, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.