Active NPI
Morgan Fontenot
- Student in an Organized Health Care Education/Training Program
- Charleston, SC
National Provider Identifier
1992404388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 151B Rutledge Ave # Msc962
Charleston, SC 29425-8903 - Phone
- (843) 792-0701
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
151B Rutledge Ave # Msc962
Charleston, SC 29425-8903
Mailing address
151B Rutledge Ave # Msc962
Charleston, SC 29425-8903
Phone (843) 792-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26514 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Montage Surgical Group | Past | Accepting new patients |
Locations
12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060
21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040
Interoperability endpoints
- morgan.fontenot.p1@direct.msjhealth.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Monterey, CA
- NPI 1629864236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1992404388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151B RUTLEDGE AVE # MSC962",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-792-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151B RUTLEDGE AVE # MSC962",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258903",
"telephone_number": "843-792-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.