Alicia Marie McIntire, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201050068NP Issued in OR

Practice address

995 Willagillespie Rd # 100
Eugene, OR 97401-2186

Phone

(541) 484-5443

Fax

(541) 687-5621

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Interoperability endpoints

• Direct secure messaging: amcintire107574@direct.ohsu.edu
• Direct secure messaging: amcintire69022@direct.lhs.org

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.

• Eugene Pediatric Associates LLC

  • Pediatric Adolescent Medicine Physician
  • Eugene, OR
  • NPI 1659442960
  NPD (past)
• Legacy Emanuel Hospital & Health Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1831112358
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1972814440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972272008",
            "telephone_number": "503-413-4300",
            "fax_number": "503-413-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD # 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012186",
            "telephone_number": "541-484-5443",
            "fax_number": "541-687-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201050068NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "201050068NP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Lyn McGregor, M.A. , CADCIII
• Kaleen E McGuire
• Ann M McHale-Sass, CRNA
• Terra McHone
• Dawn McIlwain
• Erin McIntyre, M.S.W.
• Kristina McIntyre
• Linda McIntyre
• Adrianna Marie McIrvin
• Andrew Craig McIvor, MD

• Pediatric Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.