Kayme McIntosh, APRN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP128404 Issued in TX

Practice address

107 SW 7TH Ave
Mineral Wells, TX 76067-5164

Phone

(817) 381-5410

Fax

(817) 631-0291

NPI assigned

Jun 30, 2015

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayme.mcintosh@541717993226244.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four Points Wellness

  • Nursing Care Agency
  • Mineral Wells, TX
  • NPI 1508576570
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1053794768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SW 7TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675164",
            "telephone_number": "817-646-7433",
            "fax_number": "817-592-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SW 7TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675164",
            "telephone_number": "817-381-5410",
            "fax_number": "817-631-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "KAYME",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Dee Lopez
• Love and Merritt LLC
• Kimberly Malley, CRNA
• Sara Masterson, LCSW
• Mathis T. Adams M.D.,P.a.
• Jeffery W McKamey, CRNA
• Tyler Brandon McLemore, OD
• Colleen McNicholas-Hendrix, NP
• Meals on Wheels of Palo Pinto County, Inc.
• Med Pavilion PC

• Nurse Practitioner in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.