Imelda Mago McIntyre, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3402852 Issued in FL

Practice address

6925 Plum Lake LN E
Jacksonville, FL 32222-1582

Phone

(904) 910-9525

NPI assigned

Aug 5, 2009

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

• Imelda Serrano Mago 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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1316178668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 PLUM LAKE LN E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221582",
            "telephone_number": "904-910-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 PLUM LAKE LN E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221582",
            "telephone_number": "904-910-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "IMELDA",
        "middle_name": "MAGO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3402852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMELDA",
            "last_name": "MAGO",
            "middle_name": "SERRANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariana McIntyre
• Brittany McIntyre, LCSW
• Catherine J. McIntyre, M.D.
• Danella Denise McIntyre, DSW, LCSW-QS
• Harley Annette McIntyre
• McIver Urological Clinic
• Amy Luster McIver, DPT
• Shannon Leslee McKain, RN
• Erik McKay
• Julie Marie McKay, MD

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.