Active NPI
Jennifer Ingram, AU.D.
- Audiologist
- Birmingham, AL
National Provider Identifier
1215183983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0738A
- Practice address
- 833 Saint Vincents Dr
Pob #3 - Suite 402
Birmingham, AL 35205-1606 - Phone
- (205) 933-9236
- NPI assigned
- Aug 14, 2008
- Last updated
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0738A | AL | Primary |
Addresses
Primary practice location
833 Saint Vincents Dr
Pob #3 - Suite 402
Birmingham, AL 35205-1606
Mailing address
833 Saint Vincents Dr
Pob #3 - Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0738A | AL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1215183983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "POB #3 - SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SAINT VINCENTS DR",
"address_2": "POB #3 - SUITE 402",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051606",
"telephone_number": "205-933-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JENNIFER",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "0738A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.