Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily McIntire

Individual provider Family Nurse Practitioner · NPI 1952987141

Emily McIntire is a Nurse Practitioner in Lake Jackson, Texas. Qualified in 2020, 6 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone: (979) 297-4507
Fax: (979) 480-9074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1040340 (TX)

Record details

NPI number1952987141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address208 Oak Dr S Ste 502, Lake Jackson, TX 77566-5789

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lake Jackson