Keelyn Marie Ingmire, EDS, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1019515 Issued in MN

Practice address

1419 Beltrami Ave NW
Bemidji, MN 56601-2806

Phone

(218) 368-6802

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1073352696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012806",
            "telephone_number": "218-368-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012806",
            "telephone_number": "218-368-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGMIRE",
        "first_name": "KEELYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "EDS, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MN",
            "license": "1019515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Louise Husske, BS
• Dawn Huyge-Opsal, LPCC
• Kristy Leigh Iceman
• Colbi Ryan Ikola, LPCC
• Independent School District #31
• Trina Ingmire, M.A. CCC-SLP
• Integrative Health and Wellness, Inc.
• Kathleen Mary Irwin, PSY.D.
• Elena Ivanova, DO
• Iverson Corner Drug Inc (Iverson Corner Drug)

• School Psychologist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• School Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.