Individual provider Active NPI

Patricia Ann McIntire, RN CNP

  • Family Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1629033386
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R30990 Issued in NM
Practice address
1600 E 32ND St
Silver City, NM 88061-7287
Phone
(575) 538-2981
Fax
(575) 388-3373
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R30990 NM Primary

Addresses

Primary practice location

1600 E 32ND St
Silver City, NM 88061-7287

Mailing address

1600 E 32ND St
Silver City, NM 88061-7287
Phone (575) 538-2981

Other identifiers 1

IdentifierTypeStateIssuer
47761MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000918 NM Practitioner - Nurse Practitioner 9133243298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Health Care PC CurrentSince Oct 1, 2001 Accepting new patients

Locations

1511 S Lime St
Deming, NM 88030
Phone (575) 538-2981

1600 E 32nd St
Silver City, NM 88061
Phone (505) 538-2981

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20156/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1629033386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617287",
            "telephone_number": "575-538-2981",
            "fax_number": "575-388-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R30990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47761",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.