Tramel Ingram, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2042928 Issued in KY

Practice address

4922 Poplar Level Rd
Louisville, KY 40219-1128

Phone

(502) 434-5566

Fax

(502) 434-5567

NPI assigned

Sep 20, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Baymark Health Services of Kentucky, Inc.

  dba MedMark Treatment Centers Louisville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1427639608
  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1457074007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191128",
            "telephone_number": "502-434-5566",
            "fax_number": "502-434-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191128",
            "telephone_number": "502-434-5566",
            "fax_number": "502-434-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "TRAMEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2042928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042928",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tingram@medmark.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4922 Poplar Level Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402191128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Ingles
• Alicia Ann Ingram, CRNA
• Alyssa Paula Ingram, APRN, FNP-C
• Amy L. Ingram, MD
• Jay R Ingram
• Initiative Counseling LLC
• Inizio Pharmacy LLC
• Injectable Consultants, LLC. (Lisa M. Williams ARNP, LLC.)
• Injury Relief Center of Louisville (Injury Relief Chiropractic and Rehab)
• Injury Relief Center of South Louisville Chiropractic & Rehab

• Licensed Practical Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.