Individual provider Active NPI

Anna Thevenot Fontenot, APRN

  • Family Nurse Practitioner
  • Ville Platte, LA
National Provider Identifier
1962716258
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06138 Issued in LA
Practice address
1008 W Main St
Ville Platte, LA 70586-4208
Phone
(337) 363-5531
Fax
(337) 363-5052
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06138 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP06138 LA

Addresses

Primary practice location

1008 W Main St
Ville Platte, LA 70586-4208

Mailing address

1008 W Main St
Ville Platte, LA 70586-4208
Phone (337) 363-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000972 LA Practitioner - Nurse Practitioner 6406037373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anna Fontenot Medical Center LLCGroup PAC ID 1355764234, 2 clinicians

Practice addresses (Care Compare)

1008 W Main St
Ville Platte, LA 70586-4208
Phone (337) 363-5531

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06138LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Fontenot Medical Center LLC Family CurrentSince Jan 4, 2019 Accepting new patients

Locations

1008 W Main St
Ville Platte, LA 70586
Phone (337) 363-5531

Interoperability endpoints

  • Direct secure messaging: mrmafont2@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anna Fontenot Medical Center LLCVille Platte, LA, CCN 193965 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control (100%)
Jan 4, 2019
Jan 4, 2019
Jan 4, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1962716258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864208",
            "telephone_number": "337-363-5531",
            "fax_number": "337-363-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864208",
            "telephone_number": "337-363-5531",
            "fax_number": "337-363-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "ANNA",
        "middle_name": "THEVENOT",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06138",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP06138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.