Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GWENETH FONTANILLA
NPI 1073421814
Nurse Practitioner in Forest Hills, NY

Q: What is Gweneth Fontanilla's NPI number?

The NPI number for Gweneth Fontanilla is 1073421814. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Q: What is Gweneth Fontanilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 01, 2026

6741 BURNS ST APT 105, FOREST HILLS, NY 11375(404) 717-3062 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Gweneth Fontanilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENETH FONTANILLA (NPI 1073421814) is an individual nurse practitioner in Forest Hills, New York, licensed in New York (409070) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1073421814

Entity TypeIndividual

Primary Taxonomy363L00000X

Provider Legal NameGWENETH FONTANILLA

Location Address6741 BURNS ST APT 105Forest Hills, NY 11375-3552

Mailing Address6741 Burns St Apt 105Forest Hills, NY 11375-3552

Phone(404) 717-3062

Sole ProprietorYes

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1073421814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 409070

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6741 BURNS ST APT 105, Forest Hills, NY 11375

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gweneth Fontanilla's NPI number?

The NPI number for Gweneth Fontanilla is 1073421814. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Gweneth Fontanilla located?

Gweneth Fontanilla practices at 6741 Burns St Apt 105, Forest Hills, NY 11375. The listed phone number is (404) 717-3062.

What is Gweneth Fontanilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gweneth Fontanilla was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.