Cheryl Ann Defontaine, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

675682 Issued in TX

Practice address

1314 E Sonterra Blvd Ste 5102
San Antonio, TX 78258-4289

Phone

(210) 490-8888

Fax

(210) 496-6865

NPI assigned

Mar 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1871562777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 WINDMILL WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324047",
            "telephone_number": "210-315-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 5102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584289",
            "telephone_number": "210-490-8888",
            "fax_number": "210-496-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFONTAINE",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "675682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alys Deese
• Shawna Mohney Deeves, M.D.
• Erica Grace Defee
• Mary Ellen Deffenbaugh, OTR
• Definitive Residential Care, LLC
• Marney Wayne Defoore, LCSW
• Patricia Kelley Deforest, DO
• David Kyle Defrees
• Meredith R Defrees
• Ralph A Defronzo, MD

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.