Individual provider Active NPI

Jennifer Lindsey Chapple Ingram

  • Doula
  • Philadelphia, PA
National Provider Identifier
1053290361
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
403 E Phil Ellena St
Philadelphia, PA 19119-1944
Phone
(215) 260-4767
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

403 E Phil Ellena St
Philadelphia, PA 19119-1944

Mailing address

403 E Phil Ellena St
Philadelphia, PA 19119-1944
Phone (215) 260-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1053290361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191944",
            "telephone_number": "215-260-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E PHIL ELLENA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191944",
            "telephone_number": "215-260-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPLE INGRAM",
        "first_name": "JENNIFER",
        "middle_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.