Active NPI
Antonia McIntyre
- Acute Care Nurse Practitioner
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11043797
- Practice address
- 1348 S 18TH St Ste 210
Fernandina Beach, FL 32034-4785 - Phone
- (904) 261-9108
- Fax
- (904) 261-9911
- NPI assigned
- Dec 10, 2025
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11043797 | FL | Primary |
Addresses
Primary practice location
1348 S 18TH St Ste 210
Fernandina Beach, FL 32034-4785
Mailing address
PO Box 746641
Atlanta, GA 30374-6641
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 S 18TH St
Suite 210
Fernandina Beach, FL 32034-4785
Phone (904) 261-9108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11043797 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians, LLC | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Baptist Pulmonary Specialists Inc | Past | Accepting new patients |
Locations
2585 Herschel St
Jacksonville, FL 32204
905 Beach Blvd
#B
Jacksonville Beach, FL 32250
Phone (904) 246-4831
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1689817405
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1790649259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746641",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746641",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 S 18TH ST STE 210",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344785",
"telephone_number": "904-261-9108",
"fax_number": "904-261-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "ANTONIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11043797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.