Active NPI
Michele Lynn McIntyre, DACM, LAC, MSTOM
- Acupuncturist
- Escondido, CA
National Provider Identifier
1154831246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17772
- Practice address
- 8975 Lawrence Welk Dr SPC 323
Escondido, CA 92026-6420 - Phone
- (619) 307-2631
- Fax
- (760) 888-2056
- NPI assigned
- Oct 3, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 17772 | CA | Primary |
Addresses
Primary practice location
8975 Lawrence Welk Dr SPC 323
Escondido, CA 92026-6420
Mailing address
8975 Lawrence Welk Dr SPC 323
Escondido, CA 92026-6420
Phone (619) 307-2631
Other practice location 1
11939 Rancho Bernardo Rd Ste 105
San Diego, CA 92128
Phone (619) 786-7579
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17772 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L S W P | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- San Diego, CA
- NPI 1649723040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1154831246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8975 LAWRENCE WELK DR SPC 323",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920266420",
"telephone_number": "619-307-2631",
"fax_number": "760-888-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8975 LAWRENCE WELK DR SPC 323",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920266420",
"telephone_number": "619-307-2631",
"fax_number": "760-888-2056"
}
],
"practiceLocations": [
{
"address_1": "11939 Rancho Bernardo Rd Ste 105",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92128",
"country_code": "US",
"telephone_number": "619-786-7579",
"fax_number": "760-888-2056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTYRE",
"first_name": "MICHELE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DACM, LAC, MSTOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.