Yvonne R Fuller-fontenot
Nurse Practitioner (Family)

Address: 1375 Washington Ave, Suite 101, Albany, NY 12206-1056
Phone: 5184384483

Yvonne R Fuller-fontenot (NPI# 1861422362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861422362
Entity Type Individual
Full Name Yvonne R Fuller-fontenot
Credential F.N.P.
Gender Female
Practice Address 1375 Washington Ave
Suite 101
Albany
NY 12206-1056
Practice Telephone 5184384483
Practice Fax Number 5184824201
Mailing Address 1375 Washington Ave
Suite 101
Albany
NY 12206-1056
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-03
Last Update Date 2014-10-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers F332758 NY

Physician Overview

NPI 1861422362
PAC ID by PECOS 2062609605
Professional Enrollment ID I20101209000044
Full Name Yvonne R Fuller-fontenot
Organization Legal Name ALBANY-CAPITAL REGION GASTROENTEROLOGY CONSULTANTS CO PLLC
Phone Number 5184384483
Gender F
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4789843228
Number of Group Practice Members 38
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330057 ST PETER'S HOSPITAL
330003 ALBANY MEMORIAL HOSPITAL
330094 COLUMBIA MEMORIAL HOSPITAL
330180 SAMARITAN HOSPITAL

Office Location

Street Address 1375 WASHINGTON AVE
SUITE 101
City ALBANY
State NY
Zip Code 12206-1056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326042607 Kim Sheldon Physician Assistant 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2005-06-02
1104277748 Molly Austin Physician Assistant 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2016-06-24
1467837484 Karen Patnode Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1070 2015-07-21
1346674686 Marilyn E Vanamburgh Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1070 2013-08-22
1821438052 Jessie Marie Shoemaker Physician Assistant 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2013-07-02
1255693982 Michael B Whalen, Md Ophthalmology 1375 Washington Ave, Suite 227, Albany, NY 12206-1070 2012-06-08
1184931677 Peter J. Duffy, Md Ophthalmology 1375 Washington Ave, Suite 227, Albany, NY 12206-1070 2010-09-07
1982917191 Michelle K Kuchis Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2010-07-16
1255575262 Matthew Gregory Warndorf Internal Medicine 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2009-04-22
1447498076 Sajid Hussain Internal Medicine 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2009-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942713144 Jaclyn Nanna Physical Therapist 1367 Washington Ave Ste 100, Albany, NY 12206 2017-11-09
1144749854 Madena Lynn Henderson Licensed Practical Nurse 51 Garfield Pl, Albany, NY 12206 2017-09-13
1912456534 Adeel A Janjua I Contractor 17 Roosevelt St, Albany, NY 12206 2016-09-23
1376901595 Jacqueline Aimee Dall Nurse Practitioner 855 Central Avenue, Albany, NY 12206 2016-02-02
1376932558 Hope House, Inc. Substance Abuse Rehabilitation Facility 577 Livingston Ave., Albany, NY 12206 2015-01-12
1679993828 Lori S. Matulewicz Nurse Practitioner 500 Central Ave., Equinox, Inc., Albany, NY 12206 2014-04-25
1437417995 Ernest Nicola Chisena Orthopaedic Surgery 1367 Washington Avenue Suite 200, Albany, NY 12206 2012-05-02
1629368519 Joseph M Rozell Radiology 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 2011-04-12
1346542404 Melissa June Kowlessar Licensed Practical Nurse 69 Benson Street, Albany, NY 12206 2010-11-23
1316109796 Edmund John Mcgrath Podiatrist 911 Central Avenue #24, Albany, NY 12206 2008-06-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528539970 Karmen Janelle Williams Nurse Practitioner 625 Cedar Ave, Albany, GA 31701-3477 2018-12-11
1679041107 Antonio Miller Nurse Practitioner 2027 W Broad Ave, Albany, GA 31707-4124 2018-11-02
1629550041 Karen A Bedell Nurse Practitioner 920 Lark Dr., Albany, NY 12207 2018-09-01
1578059150 Whittnye Barksdale Nurse Practitioner 2822 Nottingham Way Ste 4, Albany, GA 31707-7630 2018-07-06
1821584459 Heather Melissa Wells Nurse Practitioner 5410 Paulk Dr, Albany, GA 31721-7434 2018-07-06
1912424052 Keneyana Meshell Solomon Nurse Practitioner 425 W 3rd Ave Ste 105, Albany, GA 31701-1969 2017-08-29
1629592696 Leigh Rhodes Singletary Nurse Practitioner 2300 Dawson Rd Ste 101, Albany, GA 31707-2804 2017-08-01
1215450747 Michelle Frijas Nurse Practitioner 405 Kains Ave Ste 201, Albany, CA 94706-1270 2017-07-17
1225550957 Christopher George Solomon Nurse Practitioner 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 2017-07-14
1255879664 Hannah J Mulligan Nurse Practitioner 1365 Washington Ave Ste 201, Albany, NY 12206-1098 2017-02-06
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Competitor

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City ALBANY
Zip Code 12206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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