Active NPI
Victoria Elizabeth Inghram, MCN, RD, LD
- Registered Dietitian
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86117376
- Practice address
- 105 Kathryn Dr Ste D
Lewisville, TX 75067-4200 - Phone
- (800) 972-0643
- Fax
- (214) 279-5032
- NPI assigned
- Oct 13, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86117376 | TX | Primary |
Addresses
Primary practice location
105 Kathryn Dr Ste D
Lewisville, TX 75067-4200
Mailing address
4251 FM 2181 Ste 230-517
Corinth, TX 76210-4219
Phone (800) 972-0643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4001 Worth St
Dallas, TX 75246-1608
9101 N Central Expy
Dallas, TX 75231-5947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86117376 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Rayl Enterprises | Current | Accepting new patients |
Locations
4251 FM 2181
Ste 230517
Corinth, TX 76210
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
9101 N Central Expy
Ste 420
Dallas, TX 75231
Phone (214) 820-8220
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
105 Kathryn Dr
Ste D
Lewisville, TX 75067
Phone (800) 972-0643
Organizations & group practices 4
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.
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- Family Medicine Physician
- Dallas, TX
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- Family Medicine Physician
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- NPI 1003811639
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dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba Grace Counseling Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1891044228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1568124865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 FM 2181 STE 230-517",
"city": "CORINTH",
"state": "TX",
"postal_code": "762104219",
"telephone_number": "800-972-0643",
"fax_number": "214-279-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KATHRYN DR STE D",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674200",
"telephone_number": "800-972-0643",
"fax_number": "214-279-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGHRAM",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"credential": "MCN, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "86117376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.