Carlene Hamilton McIntosh

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95021609 Issued in CA

Practice address

15743 SW 21St St
Miramar, FL 33027-4201

Phone

(954) 534-4693

NPI assigned

Aug 30, 2018

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1407338106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15743 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274201",
            "telephone_number": "954-534-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15743 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274201",
            "telephone_number": "954-534-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "CARLENE",
        "middle_name": "HAMILTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021609",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9202413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Secure",
            "affiliation": "N",
            "endpointDescription": "Trusted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15743 SW 21st St",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330274201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly McDuffie, ARNP
• Rose Lavine McGhie-Anderson, PHD, APRN, FNP-BC
• Susan M McGinness, ARNP
• Rebecca Marier McGuigan, MD
• Leigh Ann McHenry, LPCC-S, LICDC
• Holly McIntyre, LCSW
• Delia Junor McKay, FNP
• Cassandra McKenley
• Nadine McKenzie, PHARM.D.
• Michael Odell McKinney, D.O.

• Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.