Princess Fonseca, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

004090 Issued in GA

Practice address

16 Provider Cir
Fort Bragg, NC 28307-1518

Phone

(912) 532-0598

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversity Health Center IncGroup PAC ID 9638261910, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1326594714
  Medicare reassignment Care Compare group
• Diversity Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1720108590
  NPD
• Diversity Health Center Inc.

  • Community/Retail Pharmacy
  • Ludowici, GA
  • NPI 1265274120
  NPD
• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Jesup, GA
  • NPI 1518508613
  NPD (past)

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689549578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PROVIDER CIR",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283071518",
            "telephone_number": "912-532-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PROVIDER CIR",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283071518",
            "telephone_number": "912-532-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "PRINCESS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "004090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kevin Fitzpatrick, DO
• Phil Jason Flewwellin
• Kathleen Michelle Flocke, MD
• Kelli Florio, ATC
• Melissa Dawn Folsom, DPT
• Christa Fontaine
• McKinnon Forbes, DDS
• Lakeasha Shanell Ford, LICSW
• Tatyana Fortune, DMD
• Deedee Foster, ARNP

• Primary Care Nurse Practitioner in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.