Individual provider Active NPI

Vicki Beall McIntyre, MSN, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1629075643
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP-AP1424 Issued in AZ
Practice address
899 N Wilmot Rd Ste E4
Tucson, AZ 85711-1783
Phone
(480) 686-8874
Fax
(486) 868-8875
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X RN054523 AZ
Family Nurse Practitioner 363LF0000X FNP-AP1424 AZ Primary

Addresses

Primary practice location

899 N Wilmot Rd Ste E4
Tucson, AZ 85711-1783

Mailing address

2201 W Fairview St Ste 9
Chandler, AZ 85224-4711
Phone (480) 470-4000

Other practice location 1

6677 Thunderbird Road
Building G, #116
Glendale, AZ 85306-8530
Phone (480) 686-8874

Other practice location 2

2201 W Fairview St Ste 9
Chandler, AZ 85224-4711
Phone (480) 470-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080215000128 AZ Practitioner - Nurse Practitioner 2163505025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Liver Health LLCGroup PAC ID 3274898010, 20 clinicians

Practice addresses (Care Compare)

1601 N Swan Rd
Tucson, AZ 85712-4046
Phone (480) 470-4000

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN054523AZMDGastroenterology Registered Nurse
FNP-AP1424AZMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60342

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1629075643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244711",
            "telephone_number": "480-470-4000",
            "fax_number": "520-327-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD STE E4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111783",
            "telephone_number": "480-686-8874",
            "fax_number": "486-868-8875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6677 Thunderbird Road",
            "address_2": "Building G, #116",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853068530",
            "country_code": "US",
            "telephone_number": "480-686-8874",
            "fax_number": "480-686-8875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 W Fairview St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244711",
            "country_code": "US",
            "telephone_number": "480-470-4000",
            "fax_number": "520-327-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "VICKI",
        "middle_name": "BEALL",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "AZ",
            "license": "RN054523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "FNP-AP1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.