Active NPI
Brandy Dominique McIntyre, ARNP FNP-C
- Nurse Practitioner
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9341338
- Practice address
- 13007 Summerfield Square Dr
Riverview, FL 33578-7402 - Phone
- (813) 629-5534
- NPI assigned
- Jan 31, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9341338 | FL | Primary |
Addresses
Primary practice location
13007 Summerfield Square Dr
Riverview, FL 33578-7402
Mailing address
13039 Pennybrook Dr
Riverview, FL 33579-9389
Phone (813) 728-7950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020984700 | Medicaid | FL | |
| IZ446Z | Other | FL | MEDICARE |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9341338 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Apogee Medical Group, Florida Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Nurse Practitioner | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Nurse Practitioner
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
- Hospitalist Physician
- Clearwater, FL
- NPI 1811179831
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1851838650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13039 PENNYBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335799389",
"telephone_number": "813-728-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13007 SUMMERFIELD SQUARE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335787402",
"telephone_number": "813-629-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "BRANDY",
"middle_name": "DOMINIQUE",
"credential": "ARNP FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9341338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020984700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IZ446Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.