Individual provider Active NPI

Rory Blythe Ingram, MSN, FNP-BC, CCRN

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1225567431
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007083 Issued in CA
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

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, AK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170928001685 ID Practitioner - Nurse Practitioner 8820362908
I20221222000493 HI Practitioner - Nurse Practitioner 8820362908 Reassigns benefits to 1 organization
I20231229001056 OR Practitioner - Nurse Practitioner 8820362908 Reassigns benefits to 1 organization
I20240401002298 TX Practitioner - Nurse Practitioner 8820362908 Reassigns benefits to 4 organizations
I20241122002468 AK Practitioner - Nurse Practitioner 8820362908 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
192728AKMDFamily Nurse Practitioner
95007083CAMDFamily Nurse Practitioner
3824-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Apogee Medical Group PC CurrentSince Nov 14, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 19, 2024 Accepting new patients
Apogee Medical Group PC CurrentSince Nov 14, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince May 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 19, 2024 Accepting new patients
Molokai Ohana Health Care, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Southcentral Foundation CurrentSince May 1, 2024 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 28, 2024 Accepting new patients
Southcentral Foundation Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 15, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 28, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 15, 2025 Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 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

  • Direct secure messaging: ringram@direct.scf.cc
  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.