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FEDELIS FONDUNGALLAH
NPI 1679403190
Nurse's Aide in Avondale, AZ

Active since May 19, 2026
11851 W KINDERMAN DR, AVONDALE, AZ 85323(651) 235-3994 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fedelis Fondungallah NPPES

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

FEDELIS FONDUNGALLAH (NPI 1679403190) is an individual nurse's aide in Avondale, Arizona and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1679403190
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameFEDELIS FONDUNGALLAH
Location Address11851 W KINDERMAN DRAvondale, AZ 85323-9115
Mailing Address11851 W Kinderman DrAvondale, AZ 85323-9115 · (651) 235-3994
Phone(651) 235-3994
Sole ProprietorYes
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1679403190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
11851 W KINDERMAN DR, Avondale, AZ 85323
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Other Names 1

Professional Name (2)Theresa Fondungallah

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Fedelis Fondungallah's NPI number?

The NPI number for Fedelis Fondungallah is 1679403190. It was assigned to this individual provider in the NPPES registry on May 19, 2026. The provider is also known as Theresa Fondungallah.

Where is Fedelis Fondungallah located?

Fedelis Fondungallah practices at 11851 W Kinderman Dr, Avondale, AZ 85323. The listed phone number is (651) 235-3994.

What is Fedelis Fondungallah's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Fedelis Fondungallah was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.