Vincent Verdun Ingram

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

00000

Practice address

222 S Cassingham Rd
Columbus, OH 43209-1802

Phone

(614) 842-3375

NPI assigned

May 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1306411053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S CASSINGHAM RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432091802",
            "telephone_number": "614-842-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S CASSINGHAM RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432091802",
            "telephone_number": "614-842-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "VINCENT",
        "middle_name": "VERDUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas A Ingram, DO
• Olivia Angelique Ingram
• Shavon C Ingram
• Sheila Deshone Ingram, CDCA
• Taneja Darion Ingram
• Abdur-Raheem Nasir Inkosi-Shabazz, BA, QMHS
• Emily K. Inkrott, APRN.CNP
• Gerald John Inks, PA-C
• Chelle Inman, RN
• Daren Inman

• Case Manager/Care Coordinator in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.