Active NPI
Brandi G. McIntosh, LMT MA 29460
- Specialist
- Tallahassee, FL
National Provider Identifier
1093936072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 29460
- Practice address
- 1289 Cedar Center Dr.
Tallahassee, FL 32301 - Phone
- (850) 942-4114
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 29460 | FL | Primary |
Addresses
Primary practice location
1289 Cedar Center Dr.
Tallahassee, FL 32301
Mailing address
3208 Whitney Dr. East
Tallahassee, FL 32309
Phone (850) 528-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2328 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 29460 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093936072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 WHITNEY DR. EAST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32309",
"telephone_number": "850-528-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1289 CEDAR CENTER DR.",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32301",
"telephone_number": "850-942-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "BRANDI",
"middle_name": "G.",
"credential": "LMT MA 29460",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 29460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "C2328",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.