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

MS. Modupe D McIntosh, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1174522916

MS. Modupe D McIntosh, CPNP is a Nurse Practitioner in Clearwater, Florida. Qualified in 1984, 42 years ago. Practices with Serenity TMS Centers LLC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
42
Licensed in
FL, GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

13577 Feather Sound Dr
Clearwater, FL 33762-2258
Phone: (904) 902-4408
Fax: (904) 420-4745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 635 Beaver Ruin Rd Nw, Lilburn, GA 30047-3474 — (678) 807-2230

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11031023 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN092844 (GA)

Record details

NPI number1174522916
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Serenity Tms Centers Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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