Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sydney Fontaine

Individual provider Physician Assistant · NPI 1366160921

Sydney Fontaine is a Physician Assistant in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

30 N 1900 E # 3B400
Salt Lake City, UT 84132-0002
Phone: (801) 581-7719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12919118-1206 (UT)

Record details

NPI number1366160921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2022
Last updated in NPPESDecember 3, 2022
Certification dateDecember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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