Carrie Ryanne Fontenette, MS, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018278 Issued in NY

Practice address

1882 Winton Rd S Ste 8
Rochester, NY 14618-3950

Phone

(585) 697-1557

Fax

(585) 697-5692

NPI assigned

Nov 13, 2008

Last updated

Jul 19, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Arc of Onondaga

  • Early Intervention Provider Agency
  • Syracuse, NY
  • NPI 1053566711
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1750535050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAE MDW",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244363",
            "telephone_number": "315-730-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S STE 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183950",
            "telephone_number": "585-697-1557",
            "fax_number": "585-697-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENETTE",
        "first_name": "CARRIE",
        "middle_name": "RYANNE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY POST",
            "identifier": "1598065096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chin-to Fong, MD
• Camillo F Fontana, DDS
• Joel B Fontanarosa, MD
• Fonte Surgical Supply, Inc
• Fonte Surgical Supply, Inc.
• Cher Ying Foo
• Natan Fooks, MD
• Dorinda G Foos, LMT
• Rosemary T Foos, LCSW-R
• Jeff Footer, LMSW CASAC

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.