Active NPI
Patricia Anne Ingram, FNP
- Family Nurse Practitioner
- Gun Barrel City, TX
National Provider Identifier
1356343222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 230669
- Practice address
- 2418 W. Main St
Gun Barrel City, TX 75156-3638 - Phone
- (903) 713-2000
- Fax
- (903) 713-2004
- NPI assigned
- Aug 11, 2005
- Last updated
- Jan 24, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 230669 | TX | Primary |
Addresses
Primary practice location
2418 W. Main St
Gun Barrel City, TX 75156-3638
Mailing address
2418 W Main St
Gun Barrel City, TX 75156-3638
Phone (903) 713-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S2731 | Other | TX | BCBS |
| 178423301 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Creek Clinic, LLC | Past | Accepting new patients | |
| Mark L Eldore MD PLLC | Family | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAGGCD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Gun Barrel City, TX
- NPI 1134539000
-
dba Athens Women's and Children's Center
- Obstetrics & Gynecology Physician
- Athens, TX
- NPI 1831107028
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1356343222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 W MAIN ST",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751563638",
"telephone_number": "903-713-2000",
"fax_number": "903-713-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 W. MAIN ST",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751563638",
"telephone_number": "903-713-2000",
"fax_number": "903-713-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "230669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S2731",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178423301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gun Barrel City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.