Samantha Nicole McIntosh, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

4704360396 Issued in MI

Practice address

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Phone

(734) 712-3456

NPI assigned

Apr 13, 2021

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

• Miss Samantha Nicole McPherson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1265012124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13093 STONY BROOK PASS",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518858",
            "telephone_number": "810-965-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MI",
            "license": "4704360396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MCPHERSON",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Michael McGorisk, M.D.
• Denise McGowan-Smith, OT
• Jewel E McGowan, LPC
• Trevor A. McGowan, CNP
• Timothy A McHugh, M.D.
• Diana McIntyre, R.N.
• Gabrielle Ann McIntyre, DNP, AGPCNP-BC
• Patty McKendrick, RNFA
• Thomas J McKeon, MD
• Lorraine Marcia McKnight, LPC

• Ambulatory Care Registered Nurse in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Ambulatory Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.