Jacqueline Faith Ingham

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT01620 Issued in RI

Practice address

1130 Ten Rod Rd Ste F101
North Kingstown, RI 02852-4170

Phone

(401) 295-2955

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1104432293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524170",
            "telephone_number": "401-295-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524170",
            "telephone_number": "401-295-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGHAM",
        "first_name": "JACQUELINE",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "RI",
            "license": "OT01620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Houston, M.ED., BCBA
• Daniel Scott Howard, DA
• Gabriele G Hughes, APRN, PCS
• Christian Humulock, OD
• Patricia J Hussey, LMHC
• Ink Well Neuropsychology, LLC
• J. D. Gloor, M. D., Inc.
• Benjamin Ryan Jack, BCBA
• Misty Jackson
• Teresa Jacob, D.D.S.

• Pediatric Occupational Therapist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Pediatric Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.