Nickie L. McIntire

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009577 Issued in PA

Practice address

1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2415

Phone

(814) 946-1655

Fax

(814) 949-7616

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Conemaugh Health Initiatives

  • Plastic Surgery Physician
  • Johnstown, PA
  • NPI 1073516720
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1871780783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "NICKIE",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN549825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2006060",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann McElheny, RN MSN
• Elizabeth McGarry, RN
• Sherri L McGhee-Brenneman, L.C.S.W.
• Terry McGinnis
• Brandon Patrick McGraw, CPS
• Nevin John McIntosh, M. ED, LBS
• Ralph D. McKibbin, M.D.
• Barbara C McKinney, CAC, CCDP, BS
• Henry D. McKinney, MD
• Jennifer Lynn McKinney, PHARM.D.

• Family Nurse Practitioner in Altoona, PA
• Providers in Altoona, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.