LISA DENISE MCINTOSH (NPI# 1710070495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710070495 |
| Entity Type | Individual |
| Full Name | LISA DENISE MCINTOSH |
| Credential | APRN |
| Practice Address |
1674 State Route 176 Greenville KY 42345-4122 |
| Practice Telephone | 2704763374 |
| Practice Fax Number | 2704764324 |
| Mailing Telephone | 2704763374 |
| Mailing Fax Number | 2704764324 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004369 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 0000000346150 | 01 |
| KY | 78013646 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407941578 | Lisa M Mcintosh | Specialist | 2292 Dalton Dr Ste C, Clarksville, TN 37043-8961 | 2006-10-04 |
| 1710953328 | Lisa B Mcintosh | Physical Therapist | 128 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-02-23 |
| 1205827573 | Lisa J Mcintosh | Obstetrics & Gynecology | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2005-11-04 |
| 1639700347 | Lisa Mcintosh | Behavior Technician | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2020-01-31 |
| 1063064038 | Lisa Mcintosh | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2019-07-10 |
| 1124331715 | Lisa Nell Mcintosh | Registered Nurse | 735 North Dr, Hopkinsville, KY 42240-2620 | 2010-07-23 |
| 1275660714 | Lisa Mcintosh | Occupational Therapy Assistant | 2000 E Edgewood Dr, Suite 114, Lakeland, FL 33803-3653 | 2007-02-28 |
| Street Address |
1674 STATE ROUTE 176 |
| City | GREENVILLE |
| State | KY |
| Zip Code | 42345-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669607917 | Felicia Wells | Speech-Language Pathologist | 515 Greene Drive, Greenville, KY 42345 | 2009-05-15 |
| 1992968085 | Roberta A Shelton | Occupational Therapist | 515 Green Drive, Greenville, KY 42345 | 2008-07-08 |
| 1659547503 | Kellyn Jones | Counselor | 506 W. Hopkinsville St, Greenville, KY 42345 | 2008-05-01 |
| 1922134956 | Guinn Shaw Cost Jr. | Family Medicine | 132 Sara's Lane, Greenville, KY 42345 | 2007-02-26 |
| 1205883949 | Katharine S Cox | Emergency Medicine | 504 Hopkinsville St, Greenville, KY 42345 | 2006-05-28 |
| 1265922447 | George Michael Garrett | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2018-05-14 |
| 1376088930 | Community Health Centers of Western Kentucky Inc | Social Worker | 226 Hopkinsville St, Greenville, KY 42345 | 2017-01-05 |
| 1982009585 | Kentucky Emergency I Services Psc | Physician Assistant | 440 Hopkinsville St, Greenville, KY 42345 | 2014-10-27 |
| 1538447016 | Christina N Buckley | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2011-08-01 |
| 1245542331 | James Derek Calhoun | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2010-07-06 |
| Find all providers in zip 42345 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 42345 |
Please comment or provide details below to improve the information on LISA DENISE MCINTOSH.
| 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.