Dawn McIntyre, ANP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Wyandotte, MI
NPI 1851635692 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1851635692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4704156917 (MI)
- Practice address
- 1700 Biddle Ave
Wyandotte, MI 48192-7205 - Phone
- (734) 284-2026
- Fax
- (734) 284-8335
- NPI assigned
- Nov 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oakwood Ambulatory LLC
Practice addresses (Care Compare)
1700 Biddle Ave
Wyandotte, MI 48192-7205
Phone (734) 284-2026
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Corewell Health Trenton Hospital
- Beaumont Hospital - Taylor
- Beaumont Hospital Royal Oak
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130327000211 | MI | Practitioner - Nurse Practitioner | 1254576036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704156917 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory, LLC | Current |
Accepting new patients | |
| Oakwood Ambulatory LLC | Current |
Accepting new patients | |
| Oakwood Ambulatory, LLC | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120
3132 Newport Rd
Ste 107
Newport, MI 48166
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
1700 Biddle Ave
Wyandotte, MI 48192
Phone (734) 284-2026
Interoperability endpoints
- dmcintyre119547@direct.beaumont.edu
- dmcintyre1246191@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704156917 | MI | Yes |
Addresses
Primary practice location
1700 Biddle Ave
Wyandotte, MI 48192-7205
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
3132 Newport Rd
Newport, MI 48166-6100
Phone (734) 586-9120
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmcintyre119547@direct.beaumont.edu |
NPI Registry JSON
{
"created_epoch": "1353110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1851635692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481927205",
"telephone_number": "734-284-2026",
"fax_number": "734-284-8335"
}
],
"practiceLocations": [
{
"address_1": "3132 Newport Rd",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "MI",
"postal_code": "481666100",
"country_code": "US",
"telephone_number": "734-586-9120",
"fax_number": "734-586-9125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTYRE",
"first_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-17",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704156917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmcintyre119547@direct.beaumont.edu",
"affiliation": "N",
"address_1": "1700 Biddle Ave",
"city": "Wyandotte",
"state": "MI",
"country_code": "US",
"postal_code": "481927205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wyandotte, MI
- Robert H McCurren
- Sarah Bethany McDade
- Jeffrey David McDonald
- Tara McFarland
- Katherine McGough
- Tyson Reed McKechnie
- Thomas R. McKeown
- Meredith Ann McLaughlin
- Delaney McNeil
- Melissa Kaylyn McPhaul
All providers in Wyandotte, MI · Adult Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.