Individual provider Active NPI

Michael McIntire, RN

  • Registered Nurse
  • Orlando, FL
National Provider Identifier
1447876701
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9523680 Issued in FL
Practice address
8601 Commodity Cir
Orlando, FL 32819-9003
Phone
(407) 605-2252
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 RN9523680 FL Primary

Addresses

Primary practice location

8601 Commodity Cir
Orlando, FL 32819-9003

Mailing address

5100 Kersey St Apt 5326
Davenport, FL 33897-9639
Phone (407) 800-4498

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
RN9523680FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Crew Community Health, Inc CurrentSince Jun 28, 2020 Accepting new patients
Crew Health PastSince Jun 28, 2020 Accepting new patients

Locations

8601 Commodity Cir
Orlando, FL 32819
Phone (407) 605-2252

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22364/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1447876701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 KERSEY ST APT 5326",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979639",
            "telephone_number": "407-800-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199003",
            "telephone_number": "407-605-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9523680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.