Active NPI
Kristen Ingram
- Occupational Therapist
- Dalton, GA
National Provider Identifier
1275915993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006587
- Practice address
- 1225 Broadrick Dr
Dalton, GA 30720-2504 - Phone
- (706) 272-6199
- NPI assigned
- Jun 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006587 | GA | Primary |
Addresses
Primary practice location
1225 Broadrick Dr
Dalton, GA 30720-2504
Mailing address
1225 Broadrick Dr
Dalton, GA 30720-2504
Phone (706) 272-6199
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006587 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1275915993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202504",
"telephone_number": "706-272-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202504",
"telephone_number": "706-272-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
- Dawn D. Idom, MD
- Hammad Ahmad Iftikhar
- Emeka Ihenatu, M.D.
- Ij Dental Smile LLC
- Independent Physical Therapy of Georgia , LLC
- Inspine Wellness Chiropractic LLC
- Integra Rehabilitation Agency, LLC
- Integrated Healthcare Center of Dalton, LLC
- Internal Medicine Associates of Dalton Inc
- Internal Medicine Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.