MRS. SALLY MCINTYRE MICHAUD (NPI# 1043712961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043712961 |
| Entity Type | Individual |
| Full Name | MRS. SALLY MCINTYRE MICHAUD |
| Other Name | SALLY BROOKS MCINTYRE |
| Credential | NNP-BC |
| Practice Address |
1500 South Main Street Fort Worth TX 76104 |
| Mailing Address |
Po Box 732973 Dallas TX 75373-2973 |
| Practice Telephone | 8177021166 |
| Practice Fax Number | 8177021405 |
| Mailing Telephone | 8177022450 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
776106 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235460734 | Sally Ann Michaud | Occupational Therapist | 223 Mudget Hill Road, Vassalboro, ME 04989-4305 | 2010-01-22 |
| Street Address |
1500 SOUTH MAIN STREET |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255686143 | Richard Spencer Teames | Anesthesiology | 1500 South Main Street, Fort Worth, TX 76104 | 2012-07-17 |
| 1356608475 | Joshua Keithley | Emergency Medicine | 1500 South Main Street, John Peter Smith Hospital Ed, Fort Worth, TX 76104-7339 | 2012-04-13 |
| 1366612194 | Kathryn Joy Pompa | Nurse Anesthetist, Certified Registered | 1500 South Main Street, Fort Worth, TX 76104 | 2008-03-07 |
| 1457538548 | Paul S. Bhella | Internal Medicine | 1500 South Main Street, Fort Worth, TX 76104 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669838249 | Rachael Melissa Mitchell | Nurse Practitioner | 3721 Hilltop Rd, Fort Worth, TX 76109-2714 | 2016-01-12 |
| 1639543135 | Shawna Marie Johnston | Nurse Practitioner | 3936 Grizzly Hills Cir, Fort Worth, TX 76244-7482 | 2015-11-20 |
| 1720325509 | Rebecca Dawn Smith | Nurse Practitioner | 1350 S Main St Ste 2400, Fort Worth, TX 76104-7667 | 2013-01-14 |
| 1790042091 | Alissa E Redden | Nurse Practitioner | 9633 Brazendine Dr, Fort Worth, TX 76244-6023 | 2012-04-12 |
| 1992061212 | Lyndsay Nicole Clowdus | Nurse Practitioner | 1400 8th Ave # Cn362, Fort Worth, TX 76104-4110 | 2012-04-11 |
| 1205866126 | Christina Mechelle Larrison | Nurse Practitioner | Dept of Neonatology, 1301 Pennsylivania Avenue, Fort Worth, TX 76104 | 2006-07-04 |
| 1770549859 | Margaret Miller | Nurse Practitioner | 1400 Pennsylvania Ave, Fort Worth, TX 76104-2112 | 2006-04-26 |
| 1497249023 | Jaclyn Renee Ross | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2018-06-18 |
| 1023515046 | Kimberley Ellen Cleaves | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2018-04-06 |
| 1215450887 | Tara L Luzader | Nurse Practitioner | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MRS. SALLY MCINTYRE MICHAUD.
| 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.