Active NPI
Dion Ingram, CRNA
- Certified Registered Nurse Anesthetist
- El Paso, TX
National Provider Identifier
1598026718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 826307
- Practice address
- 4800 Alberta Ave
El Paso, TX 79905-2709 - Phone
- (915) 545-6560
- Fax
- (915) 545-6984
- NPI assigned
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9264965 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 826307 | TX | Primary |
Addresses
Primary practice location
4800 Alberta Ave
El Paso, TX 79905-2709
Mailing address
4800 Alberta Ave
Suite 101
El Paso, TX 79905-2709
Phone (915) 545-6720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | FL | BCBS |
| PENDING | Medicaid | FL |
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
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1598026718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"address_2": "SUITE 101",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-545-6720",
"fax_number": "915-545-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-545-6560",
"fax_number": "915-545-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "DION",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9264965",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "826307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PENDING",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.