Individual provider Active NPI

Montia McIntosh, MSN, APRN-C, FAANP

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1245636067
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9207422 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 400
Fort Lauderdale, FL 33316-2521
Phone
(954) 832-0055
Fax
(954) 832-0063
NPI assigned
Nov 5, 2014
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9207422 FL Primary
Family Nurse Practitioner 363LF0000X 9207422 FL

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 400
Fort Lauderdale, FL 33316-2521

Mailing address

1625 SE 3Rd Ave
Suite #400
Fort Lauderdale, FL 33316
Phone (954) 832-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200623002255 FL Practitioner - Nurse Practitioner 4880016799 Reassigns benefits to 4 organizations
I20260402002777 NY Practitioner - Nurse Practitioner 4880016799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ulster Physician Medicine Services PCGroup PAC ID 8527563931, 72 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-2234

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 794-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9207422FLMDNurse Practitioner
9207422FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehs at Lakeside LLC CurrentSince Jul 7, 2024 Accepting new patients
Wilfred C McKenzie PA CurrentSince Mar 15, 2020 Accepting new patients
First Docs PC CurrentSince Jun 10, 2024 Accepting new patients
Accountable Care Hospitalist Group CurrentSince May 1, 2025 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1625 SE 3rd Ave
Ste 400
Ft Lauderdale, FL 33316
Phone (954) 832-0055

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: mmcintosh378123@mhsdirect.net
  • Direct secure messaging: montiamcintosh@wmkmd.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1245636067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE #400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-832-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-832-0055",
            "fax_number": "954-832-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MONTIA",
        "credential": "MSN, APRN-C, FAANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9207422",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9207422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.