Active NPI
Kasey S Fontenot
- Surgical Technologist
- Thibodaux, LA
National Provider Identifier
1952716342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 1642
- Practice address
- 101 Longwood Dr
Thibodaux, LA 70301-8027 - Phone
- (985) 778-3148
- Fax
- (800) 786-0683
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 1642 | Primary |
Addresses
Primary practice location
101 Longwood Dr
Thibodaux, LA 70301-8027
Mailing address
101 Longwood Dr
Thibodaux, LA 70301-8027
Phone (985) 778-3148
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurotech of Louisiana, LLC | Current | Accepting new patients |
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Mathews, LA
- NPI 1598001794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1952716342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LONGWOOD DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703018027",
"telephone_number": "985-778-3148",
"fax_number": "800-786-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LONGWOOD DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703018027",
"telephone_number": "985-778-3148",
"fax_number": "800-786-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "KASEY",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "1642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.