Individual provider Active NPI

Carol Cassandra McIntyre, MSED

  • Case Manager/Care Coordinator
  • Longwood, FL
National Provider Identifier
1619230372
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
607 Sweetwater Club Cir
Longwood, FL 32779-2132
Phone
(347) 495-6929
Fax
(800) 660-2948
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 346641 NY
Case Manager/Care Coordinator 171M00000X NY Primary

Addresses

Primary practice location

607 Sweetwater Club Cir
Longwood, FL 32779-2132

Mailing address

607 Sweetwater Club Cir
Longwood, FL 32779-2132
Phone (347) 495-6929

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

LicenseStateTypeSpecialty
346641NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arrows Unlimited FL Inc Current Accepting new patients
Arrows Unlimited Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1619230372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SWEETWATER CLUB CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792132",
            "telephone_number": "347-495-6929",
            "fax_number": "800-660-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SWEETWATER CLUB CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792132",
            "telephone_number": "347-495-6929",
            "fax_number": "800-660-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "CAROL",
        "middle_name": "CASSANDRA",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "346641",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.