Active NPI
Karen Ingram, NP
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13971
- Practice address
- 1300 N Vermont Ave Ste 407
Los Angeles, CA 90027-6086 - Phone
- (323) 662-0492
- Fax
- (323) 662-0196
- NPI assigned
- Jan 30, 2008
- 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 | 13971 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave Ste 407
Los Angeles, CA 90027-6086
Mailing address
8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677
Other names 1
- Karen Ingram Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1670 E 120TH St
Los Angeles, CA 90059-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13971 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minghsun Liu, M.D., PC | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263
Interoperability endpoints
- karen.ingram.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 3
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.
-
dba Martin Luther King, Jr. Outpatient Center
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
dba Woundtech of California
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518309368
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1487831608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"address_2": "STE 215",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE STE 407",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276086",
"telephone_number": "323-662-0492",
"fax_number": "323-662-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "13971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "INGRAM WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.