Ashley Taylor McIntyre, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.014419 Issued in IL

Practice address

2810 Frank Scott Pkwy W Ste 716
Belleville, IL 62223-5007

Phone

(618) 698-4021

Fax

(618) 355-0881

NPI assigned

Jul 13, 2016

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

Other names 1

• Ashley Taylor Simmons Former name

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Ankle and Foot Surgeons, LLCGroup PAC ID 2769530740, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Ankle and Foot Surgeons, LLC

  • Podiatrist
  • O Fallon, IL
  • NPI 1275773293

  IL

  Medicare reassignment Care Compare group NPD
• Vasantha Pai M.D. P.C.

  • Gastroenterology Physician
  • Belleville, IL
  • NPI 1558553024

  IL

  Medicare reassignment
• Advanced Ankle and Foot Surgeons, LLC

  • Podiatrist
  • O Fallon, IL
  • NPI 1245563501
  NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1184077232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PKWY W STE 716",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "618-698-4021",
            "fax_number": "618-355-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PKWY W STE 716",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "618-698-4021",
            "fax_number": "618-355-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ASHLEY",
        "middle_name": "TAYLOR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.014419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SIMMONS",
            "middle_name": "TAYLOR",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori A McCullough, PA-C
• Caroline McDonald
• Brian L McElaney, MD
• Payton K. McGowen, M.D.
• Sara A McHale, M.D.
• Heather McIntyre
• Justin Leigh McKevitt, MSW, LCSW
• Susan Kay McLaughlin, OT
• Molly Beth McVey, LCSW
• Robert W Mecker Jr., M.D.

• Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.