Active NPI
Robin A McIntyre, FNP
- Family Nurse Practitioner
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012034
- Practice address
- 470 Chadbourne Rd Ste a
Fairfield, CA 94534-9620 - Phone
- (707) 419-8989
- NPI assigned
- Jul 11, 2019
- Last updated
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012034 | CA | Primary |
Addresses
Primary practice location
470 Chadbourne Rd Ste a
Fairfield, CA 94534-9620
Mailing address
210 Aegean Way Apt 58
Vacaville, CA 95687-4074
Phone (707) 628-2873
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3771
Phone (707) 419-8990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012034 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
1101 B Gale Wilson Blvd
Ste 101C
Fairfield, CA 94533
Phone (707) 419-8990
470 Chadbourne Rd
Ste A
Fairfield, CA 94534
Phone (707) 419-8989
1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
Interoperability endpoints
- rmcintyre675837@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1609170695
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1316429558
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fremont, CA
- NPI 1558727776
-
- Home Health Agency
- Oakland, CA
- NPI 1326399296
-
dba Providence Queen of the Valley Medical Center
- General Acute Care Hospital
- Napa, CA
- NPI 1013080084
-
dba Providence Queen of the Valley Medical Center
- General Acute Care Hospital
- Napa, CA
- NPI 1235218785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1821640616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 AEGEAN WAY APT 58",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874074",
"telephone_number": "707-628-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 CHADBOURNE RD STE A",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945349620",
"telephone_number": "707-419-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "ROBIN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.