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MS. REBECCA L MCKINTOSH ACNP NPI 1831185925


NPI Information

NPI: 1831185925
Provider Name: MS. REBECCA L MCKINTOSH, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
9229 LBJ FWY
DALLAS, TX
ZIP 75243
Phone: (817) 589-4628
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MS. Rebecca L Mckintosh, ACNP is an acute care nurse practitioner in Dallas, TX. MS. Rebecca L Mckintosh, ACNP NPI is 1831185925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9229 LBJ FWY
DALLAS, TX
ZIP 75243-405
Phone: (817) 589-4628
Fax: (817) 447-1135

The NPI 1831185925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 10/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care577780TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1154880202MEDICAIDTEXAS
28L18733MEDICARE PINTEXAS
384P463MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4154880204MEDICAIDTEXAS
5154880201MEDICAIDTEXAS
6TXB100709MEDICARE PINTEXAS
7154880203MEDICAIDTEXAS
8P71518MEDICARE UPINTEXAS
9819N63OTHERTEXASBCBS
108L18649MEDICARE PINTEXAS
11154880205MEDICAIDTEXAS
128L18734MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.