Abbie Lynn Ingram, P.A.-C

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

BOH-22-BAP-02 Issued in MA

Practice address

75 Francis St
Boston, MA 02115-6110

Phone

(617) 983-4537

Fax

(617) 983-4534

NPI assigned

Mar 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ingram.abbie.bwh@direct.partners.masshiway.net

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

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment NPD
• The Parlor Reconstructive Tattoos, LLC

  • Medical Art Specialist/Technologist
  • Maynard, MA
  • NPI 1821727405

  Art, Medical

  NPD Authorized official
• Brigham and Women's Hospital

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1093885816
  NPD
• Brigham and Womens Physicians Organization Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1265464598
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1144491101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WARREN RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025962",
            "telephone_number": "617-466-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-983-4537",
            "fax_number": "617-983-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Nason St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Maynard",
            "state": "MA",
            "postal_code": "017542594",
            "country_code": "US",
            "telephone_number": "617-466-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ABBIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP2485",
            "primary": false
        },
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "MA",
            "license": "BOH-22-BAP-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Patrick Ingenito, MD PH D
• Dana L. Ingersoll, M.A.
• Jennifer Ann Ingham, PMHNP
• Matthew David Ingham, M.D.
• Ignacio Inglessis-Azuaje, MD
• Elizabeth H Ingram, PA
• Kida Anne Ingram, PHD
• Mallory Ingram, MA, LCPC, LMHC,R-DMT
• Kameron Melan Labio Inguito, MD
• Kara Ann Inkeles, PA-C

• Medical Art Specialist/Technologist in Boston, MA
• Providers in Boston, MA by specialty
• Medical Art Specialist/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.