Rebecca Mackintosh, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5487521-4405 Issued in UT

Practice address

4624 S Holladay Blvd.
Suite 201
Salt Lake City, UT 84117-7168

Phone

(801) 266-3113

Fax

(801) 266-5633

NPI assigned

Feb 16, 2013

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

Enrolled in UT, WA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1710927231
  Medicare reassignment NPD
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment
• Whidbey Island Public Hospital District

  • Clinical Social Worker
  • Desert Hot Springs, CA
  • NPI 1518819341
  NPD
• Taylor G Wright PC

  • Podiatrist
  • Layton, UT
  • NPI 1528765575
  NPD (past)

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1275873903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD.",
            "address_2": "SUITE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "801-266-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD.",
            "address_2": "SUITE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Th Ave & C St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841430001",
            "country_code": "US",
            "telephone_number": "801-408-3638",
            "fax_number": "801-408-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 E 700 S",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "St. George",
            "state": "UT",
            "postal_code": "847904084",
            "country_code": "US",
            "telephone_number": "435-775-2324",
            "fax_number": "435-775-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKINTOSH",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5487521-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James Mackenzie, PH.D.
• Neil Patrick Mackenzie
• Amber Nicole Mackey Wilson, D.O.
• Bruce Mackie
• Robert W Mackie, MD
• Caety Elise Mackley
• Colleen Shea Macklin, SLP
• Aileen Maclachlan
• Courtney Claire Maclean, MD
• William Quinn Macleod

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.