Amber Lee McIntosh
Individual provider Active NPI Community Health Worker · Estill Springs, TN
NPI 1801367131 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1801367131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 416 S Main St
Estill Springs, TN 37330-4037 - Phone
- (931) 649-3408
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
416 S Main St
Estill Springs, TN 37330-4037
Mailing address
416 S Main St
Estill Springs, TN 37330-4037
Phone (931) 649-3408
Other providers in Estill Springs, TN
- Sandra Jeanne Langley
- Reya Lee
- Brittany Nicole Lynn
- Lisa Robin Mays
- Angela Gwyn McCreary
- Chelsea Morrison
- Sheree Partin
- Amanda Kristen Rigsby
- Sara A Robison
- Rebecca Ann Smith
All providers in Estill Springs, TN · Community Health Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.