Active NPI
Erica Ingram, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1306117692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R154613
- Practice address
- 11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904 - Phone
- (301) 593-1315
- Fax
- (301) 681-4699
- NPI assigned
- Jan 19, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R154613 | MD | Primary |
Addresses
Primary practice location
11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904
Mailing address
11120 New Hampshire Ave
Suite # 204
Silver Spring, MD 20904
Phone (301) 593-1315
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 |
|---|---|---|---|
| R154613 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Resource Group | Past | Accepting new patients |
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.
-
- Cognitive & Behavioral Psychologist
- Towson, MD
- NPI 1235271339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1306117692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE # 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE # 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "ERICA",
"credential": "PMH-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R154613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.