Brooke Haley McIntyre, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1785 Issued in OK

Practice address

28149 E 97TH St S
Broken Arrow, OK 74014-3413

Phone

(918) 408-0576

NPI assigned

Nov 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1245772029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28149 E 97TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740143413",
            "telephone_number": "918-408-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28149 E 97TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740143413",
            "telephone_number": "918-408-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "BROOKE",
        "middle_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Gabriel McGraw
• Olivia Kay McGuire
• Julia McHenry
• Teresa Jo McIlroy, RPT
• Taylor Nicole McIntosh, OTR/L
• Ryan McKenna
• Larry D. McKenzie, DO
• Wendy McKinney
• Gayle Marie McKinnon, CRNA
• Paul W McKnight

• Registered Dietitian in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.