Active NPI
Alberta McIntosh
- Licensed Practical Nurse
- Bradenton, FL
National Provider Identifier
1528496361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0886121
- Practice address
- 1804-26TH Avenue East
Bradenton, FL 34208 - Phone
- (941) 747-6505
- Fax
- (941) 747-6505
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0886121 | FL | Primary |
Addresses
Primary practice location
1804-26TH Avenue East
Bradenton, FL 34208
Mailing address
1804-26TH Avenue East
Bradenton, FL 34208
Phone (941) 747-6505
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 |
|---|---|---|---|
| 0886121 | FL | MD | Licensed Practical Nurse |
Organizations & group practices 1
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.
-
- Home Health Agency
- Bradenton, FL
- NPI 1447554811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1528496361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804-26TH AVENUE EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34208",
"telephone_number": "941-747-6505",
"fax_number": "941-747-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804-26TH AVENUE EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34208",
"telephone_number": "941-747-6505",
"fax_number": "941-747-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "ALBERTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "0886121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.