Individual provider Active NPI

Anna McIntyre, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1194118588
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19694 Issued in TN
Practice address
2115 Union Ave
Memphis, TN 38104-4233
Phone
(901) 274-4085
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19694 TN Primary

Addresses

Primary practice location

2115 Union Ave
Memphis, TN 38104-4233

Mailing address

2115 Union Ave
Memphis, TN 38104-4233
Phone (901) 274-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20150615002141 TN Practitioner - Nurse Practitioner 5698086825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Whiteville Medical Center LLCGroup PAC ID 3971036716, 2 clinicians

Practice addresses (Care Compare)

2400 US Hwy 64
Whiteville, TN 38075-7461
Phone (731) 254-8999

Hospital & facility affiliations

  • West Tennessee Healthcare Bolivar Hospital Hospital, Bolivar, TN, CCN 441320
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19694TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteville Medical Center LLC CurrentSince Aug 21, 2024 Accepting new patients
Christian Family Medicine Family CurrentSince Mar 5, 2018 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 7, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2017 Accepting new patients
Christian Family Medicine, LLC CurrentSince Mar 5, 2018 Accepting new patients
Whiteville Medical Clinic, LLC Family Past Accepting new patients

Locations

622 W Market St
Bolivar, TN 38008
Phone (731) 658-2885

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

715 E Main St
Ste A
Henderson, TN 38340
Phone (731) 435-1488

8118 US Hwy 51 N
Millington, TN 38053

8118 US Hwy 51 N
Millington, TN 38053
Phone (901) 614-4455

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

2400 US Highway 64
Whiteville, TN 38075
Phone (731) 254-8999

Interoperability endpoints

  • Direct secure messaging: anna.mcintyre.1@32500.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1194118588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044233",
            "telephone_number": "901-274-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044233",
            "telephone_number": "901-274-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "ANNA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.