Kelly McIntyre, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN14275 Issued in TN

Practice address

315 Gill Ave
Knoxville, TN 37917-7209

Phone

(865) 546-7330

Fax

(865) 546-7381

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Apr 7, 2016 through Apr 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16930/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.mcintyre.1@16930.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interfaith Health Clinic, Inc

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1033599154
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1437382587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177209",
            "telephone_number": "865-546-7330",
            "fax_number": "865-546-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177209",
            "telephone_number": "865-546-7330",
            "fax_number": "865-546-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "KELLY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN14275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Timothy McIlrath, MD
• Jeannine Caraza McInerney
• Larinda McInnis
• Madeline Mae McIntosh
• Sydney Moore McIntosh, MD
• Kristin R McKamey, FNP-BC, PMHNP-BC
• Amanda Moulton McKay
• Cynthia J McKay, CRNA
• Beverly McKee, PH.D., LCSW
• Elizabeth Anne McKee, PH.D.

• Adult Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.