Devon Shea McIntosh, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95007011 Issued in CA

Practice address

5865 E Naples PLZ
Long Beach, CA 90803-5040

Phone

(562) 434-4481

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Devon Shea Griffin Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• South Orange County Gastroenterology Inc

  • Gastroenterology Physician
  • Mission Viejo, CA
  • NPI 1861612293
  Medicare reassignment NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1790204758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 WOODLAWN AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803542",
            "telephone_number": "714-403-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035040",
            "telephone_number": "562-434-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "DEVON",
        "middle_name": "SHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007011",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "GRIFFIN",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanine McGuinness
• Anthony William McGuire, RN, PHD, ACNP-BC
• John McGuire, D.D.S.
• Candace Maika McIntosh, M.A.
• Danielle McIntosh, RN, PHN
• Lateef Vincent McIntosh
• Maxine Julia McIntosh, RADT
• Travion I McIntyre
• Julie McKay, PA
• Alexandria McKenzie

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.