Active NPI
Yvonne R Fuller-Fontenot, F.N.P.
- Family Nurse Practitioner
- Albany, NY
National Provider Identifier
1861422362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332758
- Practice address
- 1375 Washington Ave
Suite 101
Albany, NY 12206-1056 - Phone
- (518) 438-4483
- Fax
- (518) 482-4201
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332758 | NY | Primary |
Addresses
Primary practice location
1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Mailing address
1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 438-4483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 533-5000
Hospital & facility affiliations
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
- Columbia Memorial Hospital
- Saratoga Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332758 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients |
Locations
1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483
1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1861422362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 WASHINGTON AVE",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061056",
"telephone_number": "518-438-4483",
"fax_number": "518-482-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 WASHINGTON AVE",
"address_2": "SUITE 101",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061056",
"telephone_number": "518-438-4483",
"fax_number": "518-482-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER-FONTENOT",
"first_name": "YVONNE",
"middle_name": "R",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.