Individual provider Active NPI

Deborah Macintyre, FNP, ARNP, MSN

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1992033435
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2157412 Issued in FL
Practice address
4150 Taggart Cay S
Suite 101
Sarasota, FL 34233-4820
Phone
(941) 444-7227
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2157412 FL Primary

Addresses

Primary practice location

4150 Taggart Cay S
Suite 101
Sarasota, FL 34233-4820

Mailing address

4950 North Taggart Cay South
101
Sarasota, FL 34233
Phone (941) 444-7227

Other identifiers 1

IdentifierTypeStateIssuer
004416800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2157412FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockledge Hma Convenient Care, LLC Nurse Practitioner Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1992033435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NORTH TAGGART CAY SOUTH",
            "address_2": "101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-444-7227",
            "fax_number": "941-444-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 TAGGART CAY S",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334820",
            "telephone_number": "941-444-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTYRE",
        "first_name": "DEBORAH",
        "name_prefix": "Miss",
        "credential": "FNP, ARNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2157412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004416800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.