Individual provider Active NPI

Leyrose Lavern McIntyre, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1447548417
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
5837801 Issued in NY
Practice address
6321 New Utrecht Ave
Brooklyn, NY 11219
Phone
(212) 687-7464
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 5837801 NY Primary

Addresses

Primary practice location

6321 New Utrecht Ave
Brooklyn, NY 11219

Mailing address

6321 New Utrecht Ave
Brooklyn, NY 11219-5425
Phone (212) 687-7464

Other practice location 1

74 Bramblebrook Rd
74 Bramblebrook Road
Ardsley, NY 10502-2234
Phone (631) 220-2290

Other practice location 2

74 Bramblebrook Rd
74 Bramblebrook Road
Ardsley, NY 10502-2234
Phone (631) 220-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
5837801NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1447548417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195425",
            "telephone_number": "212-687-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "212-687-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Bramblebrook Rd",
            "address_2": "74 Bramblebrook Road",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105022234",
            "country_code": "US",
            "telephone_number": "631-220-2290",
            "fax_number": "866-662-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 Bramblebrook Rd",
            "address_2": "74 Bramblebrook Road",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105022234",
            "country_code": "US",
            "telephone_number": "631-220-2290",
            "fax_number": "866-662-6514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "LEYROSE",
        "middle_name": "LAVERN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5837801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.