MISS KIMBERLY BETH MACINTIRE (NPI# 1609151786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609151786 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY BETH MACINTIRE |
| Credential | PAC |
| Practice Address |
400 Goodys Ln Knoxville TN 37922-1900 |
| Mailing Address |
256 Fort Sanders West Blvd Ste 200 Knoxville TN 37922-3355 |
| Practice Telephone | 8652888327 |
| Practice Fax Number | 8652885903 |
| Mailing Telephone | 8652319481 |
| Mailing Fax Number | 8657694501 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2091 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA.892 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 GOODYS LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659655546 | Beth Heather Brubaker | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2011-10-11 |
| 1528618030 | Emily Lauren Hugh | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2019-09-17 |
| 1528520731 | Shivani Patel | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2019-04-05 |
| 1760850861 | Brian Winbigler | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2015-09-04 |
| 1336536333 | Jonathan Newsome | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2015-04-17 |
| 1336567577 | Amanda Eades | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2014-04-04 |
| 1750657052 | Laura Anne Schalliol | Pharmacist | 400 Goodys Ln, Knoxville, TN 37922-1900 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.