Sydney Jo Fontinel
Individual provider Active NPI Nurse Practitioner · Marengo, IA
NPI 1972426344 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1972426344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A193929 (IA)
- Practice address
- 300 W May St
Marengo, IA 52301-1261 - Phone
- (319) 642-5543
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A193929 | IA | Yes |
Addresses
Primary practice location
300 W May St
Marengo, IA 52301-1261
Mailing address
300 W May St
Marengo, IA 52301-1261
Phone (319) 741-6789
Other providers in Marengo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.