Active NPI
Deborah Macintyre, FNP, ARNP, MSN
- Nurse Practitioner
- Sarasota, FL
National Provider Identifier
1992033435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2157412
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004416800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2157412 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Merritt Island, FL
- NPI 1306151402
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.