Jeffery Lynn Ingram, R.EEG/EPT, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

899 Issued in MO

Practice address

205 N Park Dr
Raymore, MO 64083-9186

Phone

(660) 492-3841

NPI assigned

May 19, 2010

Last updated

May 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1255650099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N PARK DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839186",
            "telephone_number": "660-492-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N PARK DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839186",
            "telephone_number": "660-492-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JEFFERY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "R.EEG/EPT, CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MO",
            "license": "899",
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MO",
            "license": "477",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MO",
            "license": "2112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Hoye
• Madison J Huebert, PLPC
• Bryan Robert Huff, OD
• Jacob Levi Hughart, LCSW
• Curtis Hyde, LCSW; MSW
• Irene Aves Broyles DDS PC
• Terry L Janzen, MSWQ
• Erin Elizabeth Jewell Burks, DO
• Rachel Lyn Jewett, LCSW, MSW
• Breanna Johnson, LPC

• Electroneurodiagnostic Specialist/Technologist in Raymore, MO
• Providers in Raymore, MO by specialty
• Electroneurodiagnostic Specialist/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.