Shelley Young Fontaine

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-165258 Issued in AL

Practice address

106 W Myrtle Ave
Foley, AL 36535-1935

Phone

(251) 943-5437

NPI assigned

Jun 21, 2021

Last updated

Oct 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 AL

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelley.fontaine.1@27270.direct.athenahealth.com

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.

• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment NPD
• Altapointe Health Systems, Inc.

  dba Accordia Health- South Baldwin

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD
• South Baldwin Childrens Center PC

  dba South Baldwin Childrens Center

  • Pediatrics Physician
  • Foley, AL
  • NPI 1679795777
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1790354199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MYRTLE AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351935",
            "telephone_number": "251-943-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "SHELLEY",
        "middle_name": "YOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-165258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foley Therapy LLC
• Foley Therapy LLC
• Foley Urgent Care LLC
• Foley Walk-in Med Care
• Luke Burkett Fondren, DO
• Laura Ford, CRNP
• Marilyn Courtney Forehand, CRNP
• Katarina Forsthoefel
• Christopher Jerome Frailie, MD
• Franklin Primary Health Center Inc (Baldwin Family Health Center)

• Pediatric Nurse Practitioner in Foley, AL
• Providers in Foley, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.