JOSEPHINE M MCINTOSH NP NPI 1881797462

NPI Information

NPI: 1881797462
Provider Name: JOSEPHINE M MCINTOSH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2430 E MASON ST
GREEN BAY, WI
ZIP 54302
Phone: (920) 445-7377
Get Directions

Josephine M Mcintosh, NP is a family nurse practitioner in Green Bay, WI. Josephine M Mcintosh, NP NPI is 1881797462. 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:

2430 E MASON ST
GREEN BAY, WI
ZIP 54302-759
Phone: (920) 445-7377

The NPI 1881797462 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 9/7/2006 and was last updated on 6/8/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		R19389	NORTH DAKOTA	No
2	363LF0000X	Nurse Practitioner	Family	R090749-1	MINNESOTA	No
3	363LF0000X	Nurse Practitioner	Family	4055	WISCONSIN	No
4	363LF0000X	Nurse Practitioner	Family	A-122356	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P1200504	OTHER	MINNESOTA	RR MEDICARE
2	15689	OTHER	IOWA	WELLMARK BLUE CROSS BLUE SHIELD
3	19534	MEDICAID	NORTH DAKOTA
4	R74870	MEDICARE UPIN
5	0076372	MEDICAID	IOWA
6	5000008603	MEDICARE UPIN	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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