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SHELLY J MCINTOSH FNP
NPI 1003872623
Nurse Practitioner - Family in Johnson City, TN

Active since April 22, 2006
301 MED TECH PKWY, SUITE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-0720 Get Directions Write a Review

NPPES record last updated: May 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2017, Aug 29, 2016 (2 updates tracked since 2016).

About Shelly J Mcintosh Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY J MCINTOSH FNP (NPI 1003872623) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APN12000) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1003872623
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY J MCINTOSHCredential: FNP
Location Address301 MED TECH PKWY, SUITE 240Johnson City, TN 37604-2364
Mailing Address215 E Springbrook DrJohnson City, TN 37601-1761 · (423) 794-5520 · Fax (423) 282-6940
Phone(423) 794-5520
Fax(423) 282-0720
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateMay 2, 20202 updates tracked since enumeration
NPPES CertifiedMay 2, 2020
✔ NPI 1003872623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · APN12000✔ Licensed in TN · RN127044
301 MED TECH PKWY, Johnson City, TN 37604
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Other Identifiers 2

MedicaidQ007095TN
Medicaid3643640TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL DENTON APN
Nurse Practitioner (Women's Health)
301 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 794-1300
MICHAEL Z PEARSON MD
Internal Medicine
301 MED TECH PKWY, STE. 280
JOHNSON CITY, TN 37604
Washington County (423) 794-5550
TRACY ROMANS NP
Nurse Practitioner (Family)
301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5888
MARK A WILLIAMS MD
Internal Medicine
301 MED TECH PKWY, STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
BRIAN H DUNKELBERGER M.D.
Obstetrics & Gynecology
301 MED TECH PKWY, STE. 200
JOHNSON CITY, TN 37604
Washington County (423) 794-1300
AMBER C PLOUCHA NP-C
Nurse Practitioner
301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
ERIN MCPHERSON
Registered Nurse (Lactation Consultant)
301 MED TECH PKWY, SUITE 160
JOHNSON CITY, TN 37604
Washington County (423) 794-5560
MARCIA M SENTELL M.D.
Obstetrics & Gynecology
301 MED TECH PKWY, STE 200
JOHNSON CITY, TN 37604
Washington County (423) 794-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Mcintosh's NPI number?

The NPI number for Shelly Mcintosh is 1003872623. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Shelly Mcintosh located?

Shelly Mcintosh practices at 301 Med Tech Pkwy Suite 240, Johnson City, TN 37604. The listed phone number is (423) 794-5520.

What is Shelly Mcintosh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shelly Mcintosh was last updated on May 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.