NICKIE L. MCINTIRE NPI 1871780783

NPI Information

  • NPI: 1871780783
  • Provider Name: NICKIE L. MCINTIRE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1414 9TH AVE
    STATION MEDICAL CENTER
    ALTOONA, PA
    ZIP 16602
  • Phone: (814) 946-1655

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NPI Details

Nickie L. Mcintire is a family nurse practitioner in Altoona, PA. Nickie L. Mcintire NPI is 1871780783. 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:

1414 9TH AVE
STATION MEDICAL CENTER
ALTOONA, PA
ZIP 16602-415
Phone: (814) 946-1655
Fax: (814) 949-7616

The NPI 1871780783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 4/20/2012.

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
1163W00000XRegistered NurseRN549825PENNSYLVANIANo
2363LF0000XNurse PractitionerFamilySP009577PENNSYLVANIAYes

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
1118616MEDICARE PINPENNSYLVANIA
22006060OTHERPENNSYLVANIAHIGHMARK

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: 3/30/2025

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