{"npi":"1174056766","type":"NPI-1","status":"active","name":{"display":"Stacy Mcintyre M.D.","other":[{"code":"1","type":"Formerly known as","value":"BLANK, STACY LYNN"}],"first":"STACY","last":"MCINTYRE","middle":"LYNN","credential":"M.D."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"TN","license":"63671"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"TN","license":"63671"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"TN","license":"63671"}]},"addresses":[{"purpose":"LOCATION","street_1":"3601 THE VANDERBILT CLINIC","city":"NASHVILLE","state":"TN","postal_code":"372328300","country_code":"US","phone":"6153223000"},{"purpose":"MAILING","street_1":"3841 GREEN HILLS VILLAGE DR STE 200","city":"NASHVILLE","state":"TN","postal_code":"372152691","country_code":"US","fax":"6153225048"}],"license":{"state":"TN","number":"63671"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q042044","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240604002628","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"TN","pac_id":"8820530991"}]},"enumeration_date":"2017-04-10","last_updated":"2025-07-23","_meta":{"source":"NPPES","snapshot_date":"2025-07-23","doc_url":"https://findmynpi.com/api"}}