JACQUELINE MCINTOSH (NPI# 1740668219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668219 |
| Entity Type | Individual |
| Full Name | JACQUELINE MCINTOSH |
| Practice Address |
2835 Hollywood Blvd Hollywood FL 33020-4235 |
| Mailing Address |
6214 Dawson St Hollywood FL 33023-1817 |
| Practice Telephone | 9549297515 |
| Mailing Telephone | 9548017496 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | IMH13465 | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447715 | Jacqueline Marie Mcintosh | Occupational Therapist | 2111 43rd Ave, San Francisco, CA 94116-1528 | 2020-01-31 |
| 1639527476 | Jacqueline A Mcintosh | Counselor | 159 20th St, Brooklyn, NY 11232-1253 | 2016-06-02 |
| 1427471796 | Jacqueline P Mcintosh | Registered Nurse | 4188 Murdock Ave, Bronx, NY 10466-2114 | 2014-01-22 |
| Street Address |
2835 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326374513 | Marie Linda Simon | Counselor | 2835 Hollywood Blvd, Hollywood, FL 33020-4235 | 2009-10-23 |
| 1528449048 | Shatoyia Falls | Social Worker | 2835 Hollywood Blvd, Hollywood, FL 33020-4235 | 2015-06-10 |
| 1205253721 | Anecia Roberta Collins | Social Worker | 2835 Hollywood Blvd, 4th Floor, Hollywood, FL 33020-4235 | 2014-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220248 | Myrlene Raquel Isme | Student in an Organized Health Care Education/Training Program | 2209 N 42nd Ave, Hollywood, FL 33021-3519 | 2020-09-22 |
| 1942814173 | Jennis Royero | Student in an Organized Health Care Education/Training Program | 1836 Arthur St Apt 6, Hollywood, FL 33020-3101 | 2020-09-04 |
| 1548898257 | Lasheika Williams | Student in an Organized Health Care Education/Training Program | 1001 N 71st Ave, Hollywood, FL 33024-5539 | 2020-03-29 |
| 1083252126 | Alexis Voke | Student in an Organized Health Care Education/Training Program | 1201 Buchanan St, Hollywood, FL 33019-1020 | 2019-12-19 |
| 1285277780 | Catherine Berdellans | Student in an Organized Health Care Education/Training Program | 3444 Pierce St, Hollywood, FL 33021-6153 | 2019-10-28 |
| 1902462989 | Sherryann Hanna Drakes | Student in an Organized Health Care Education/Training Program | 2326 Farragut St, Hollywood, FL 33020-1626 | 2019-05-14 |
| 1457915894 | Roman Mogilevsky | Student in an Organized Health Care Education/Training Program | 2247 Taylor St Apt 4, Hollywood, FL 33020-4458 | 2019-04-30 |
| 1497217764 | Rebecca Katz | Student in an Organized Health Care Education/Training Program | 3501 Keyser Ave Apt 42, Hollywood, FL 33021-2402 | 2019-04-04 |
| 1851853154 | Michal Wrotslavsky | Student in an Organized Health Care Education/Training Program | 4060 N Hills Dr Apt 39, Hollywood, FL 33021-2461 | 2019-04-04 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| Find all providers in HOLLYWOOD | ||||
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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.