Individual provider Active NPI

Hannah Dawson Ingram, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1104531110
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33189 Issued in TN
Practice address
6401 Poplar Ave Ste 195
Memphis, TN 38119-4891
Phone
(901) 257-9725
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33189 TN Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 195
Memphis, TN 38119-4891

Mailing address

1888 Reid Hooker CV
Eads, TN 38028-7974
Phone (901) 356-4413

Other practice location 1

5575 Raleigh LaGrange Rd
Memphis, TN 38134-5724
Phone (901) 388-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000210 TN Practitioner - Nurse Practitioner 7911362389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Harmony Women'S Health, PLLCGroup PAC ID 7416320106, 2 clinicians

Practice addresses (Care Compare)

6401 Poplar Ave
Suite 195
Memphis, TN 38119-4891
Phone (901) 257-9725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33189TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Women'S Health, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

6401 Poplar Ave
Ste 195
Memphis, TN 38119
Phone (901) 257-9725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1104531110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 REID HOOKER CV",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380287974",
            "telephone_number": "901-356-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 195",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194891",
            "telephone_number": "901-257-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Raleigh LaGrange Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381345724",
            "country_code": "US",
            "telephone_number": "901-388-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "HANNAH",
        "middle_name": "DAWSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.