Kenisha Rose Ingram

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1022166 Issued in CA

Practice address

3216 Paumanok Way
Sacramento, CA 95835-2450

Phone

(916) 470-7404

NPI assigned

Jul 3, 2015

Sex

Female

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

State licenses

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1366825648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 PAUMANOK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352450",
            "telephone_number": "916-470-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 PAUMANOK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352450",
            "telephone_number": "916-470-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "KENISHA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "1022166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ingle
• Ambercelia Ingram
• Drew Christian Ingram, M.D.
• Isa Ingram, L.AC.
• Kate Ingram, MPH
• Lewis E. Ingram, FNP
• Michael T Ingram, MD
• Samantha Ingram, B.A.E
• Tara Ingram, PH.D.
• Rochelle Ingrassia

• Home Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.