Individual provider Active NPI

Tina Fontenot, MSW

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1861862864
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
11439 Issued in LA
Practice address
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone
(225) 261-7143
NPI assigned
Oct 2, 2015
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 11439 LA Primary

Addresses

Primary practice location

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Mailing address

11408 Lake Sherwood Ave N
Baton Rouge, LA 70816-0420
Phone (225) 261-7143

Other practice location 1

158 McGehee Dr
Baton Rouge, LA 70815-5012
Phone (225) 272-5271

Other identifiers 2

IdentifierTypeStateIssuer
3700719MedicaidLA
600723334OtherLASEASIDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tfontenot@hcohealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11439LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1861862864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160420",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 McGehee Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708155012",
            "country_code": "US",
            "telephone_number": "225-272-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "TINA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "11439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3700719",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEASIDE",
            "identifier": "600723334",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tfontenot@hcohealth.com",
            "affiliation": "N",
            "endpointDescription": "Company e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "11408 Lake Sherwood Ave N Ste A",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708160421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.