Active NPI
Laura Michelle Ingrum, NP-C
- Nurse Practitioner
- Washington, DC
National Provider Identifier
1295726859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP500011974
- Practice address
- M/Med/Qi, Sa-1
US Department of State
Washington, DC 20522-0102 - Phone
- (202) 663-1519
- Fax
- (260) 496-8077
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP500011974 | DC | Primary |
Addresses
Primary practice location
M/Med/Qi, Sa-1
US Department of State
Washington, DC 20522-0102
Mailing address
M/Med/Qi, Sa-1
US Department of State
Washington, DC 20522-0102
Phone (202) 663-1519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71001999A | Other | IN | NP LICENSE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP500011974 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFACCA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1003807850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1295726859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "M/MED/QI, SA-1",
"address_2": "US DEPARTMENT OF STATE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220102",
"telephone_number": "202-663-1519",
"fax_number": "260-496-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "M/MED/QI, SA-1",
"address_2": "US DEPARTMENT OF STATE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220102",
"telephone_number": "202-663-1519",
"fax_number": "260-496-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRUM",
"first_name": "LAURA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "NP500011974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "71001999A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.