Active NPI
William Walden McIntyre
- Peer Specialist
- Washington, DC
National Provider Identifier
1467137828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 224
- Practice address
- 1818 New York Ave NE Ste 201
Washington, DC 20002-1849 - Phone
- (202) 506-5187
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 224 | DC | Primary |
Addresses
Primary practice location
1818 New York Ave NE Ste 201
Washington, DC 20002-1849
Mailing address
4341 Telfair Blvd Apt F305
Suitland, MD 20746-4266
Phone (202) 760-9577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224 | DC | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1467137828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 TELFAIR BLVD APT F305",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207464266",
"telephone_number": "202-760-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE STE 201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021849",
"telephone_number": "202-506-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "WILLIAM",
"middle_name": "WALDEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "DC",
"license": "224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.