Rizalie A McIntosh

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

H1100717010 Issued in HI

Practice address

87-185 Mikana St # B
Waianae, HI 96792-3728

Phone

(808) 888-0854

Fax

(808) 888-0854

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1487903225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-185 MIKANA ST # B",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923728",
            "telephone_number": "808-888-0854",
            "fax_number": "808-888-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-185 MIKANA ST # B",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923728",
            "telephone_number": "808-888-0854",
            "fax_number": "808-888-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "RIZALIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "HI",
            "license": "H1100717010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Kuuipo Martinez, CSAC
• Johnathan Robert Massey, FNP
• Gregory May, MFT
• Chanel Mayural
• Wayne McClellan, PSY.D.
• Patricia Kay McKenzie, APRN
• Joseph C McLary, PA-C
• Stacy Melton
• Mary Grace Mendoza, NP
• Jordan Messier, PSYD

• Nursing Home Administrator in Waianae, HI
• Providers in Waianae, HI by specialty
• Nursing Home Administrator in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.