Individual provider Active NPI

Christine L Fontinel, ARNP

  • Pediatric Nurse Practitioner
  • Altus, OK
National Provider Identifier
1861779183
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024171669 Issued in VA
Practice address
301 N 1St St # 46
Altus, OK 73523-5004
Phone
(580) 481-5290
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024171669 VA Primary

Addresses

Primary practice location

301 N 1St St # 46
Altus, OK 73523-5004

Mailing address

301 N 1St St # 46
Altus, OK 73523-5004
Phone (580) 481-5290

Other identifiers 1

IdentifierTypeStateIssuer
0024171669OtherVAARNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024171669VAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1861779183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST # 46",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735235004",
            "telephone_number": "580-481-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST # 46",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735235004",
            "telephone_number": "580-481-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTINEL",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024171669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "0024171669",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.