Active NPI
Rory Blythe Ingram, MSN, FNP-BC, CCRN
- Family Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007083
- Practice address
- South Central Foundation
4155 Tudor Centre Drive
Anchorage, AK 99508-5912 - Phone
- (509) 215-1700
- Fax
- (509) 215-1700
- NPI assigned
- Jun 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 192728 | AK | |
| Family Nurse Practitioner | 363LF0000X | 54633 | ID | |
| Family Nurse Practitioner | 363LF0000X | 10011262 | OR | |
| Family Nurse Practitioner | 363LF0000X | APRN11030726 | FL | |
| Family Nurse Practitioner | 363LF0000X | 3824-0 | HI | |
| Family Nurse Practitioner | 363LF0000X | 95007083 | CA | Primary |
Addresses
Primary practice location
South Central Foundation
4155 Tudor Centre Drive
Anchorage, AK 99508-5912
Mailing address
South Central Foundation
4155 Tudor Centre Drive
Anchorage, AK 99508-5912
Phone (509) 215-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, HI, OR, TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192728 | AK | MD | Family Nurse Practitioner |
| 95007083 | CA | MD | Family Nurse Practitioner |
| 3824-0 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Past | Accepting new patients |
Locations
4501 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1000
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000
Interoperability endpoints
- ringram@direct.scf.cc
- rory.ingram.1@15989.direct.athenahealth.com
Organizations & group practices 17
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.
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1770570780
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Primary Care Clinic/Center
- Anchorage, AK
- NPI 1437772886
-
- Community/Behavioral Health Agency
- Juneau, AK
- NPI 1083267926
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1225567431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOUTH CENTRAL FOUNDATION",
"address_2": "4155 TUDOR CENTRE DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085912",
"telephone_number": "509-215-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH CENTRAL FOUNDATION",
"address_2": "4155 TUDOR CENTRE DRIVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085912",
"telephone_number": "509-215-1700",
"fax_number": "509-215-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "RORY",
"middle_name": "BLYTHE",
"credential": "MSN, FNP-BC, CCRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-09",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "192728",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "54633",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10011262",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11030726",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "3824-0",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.