Raymond G Ingraham, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704122272 Issued in MI

Practice address

680 Columbia Ave W
Bronson Urgent Care
Battle Creek, MI 49015-3028

Phone

(269) 965-4500

Fax

(269) 965-1150

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Bronson Practice Management

  • Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1801818752
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1669543740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7806",
            "fax_number": "269-341-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COLUMBIA AVE W",
            "address_2": "BRONSON URGENT CARE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153028",
            "telephone_number": "269-965-4500",
            "fax_number": "269-965-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "RAYMOND",
        "middle_name": "G",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704122272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669543740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500C912770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F. Ignaczak, M.D.
• Sunggeun Samuel Im, MD
• Tamara Inderlied
• Infinity Afc LLC
• Infinity Home Health Care, Inc.
• Innovative Womens Health, PLC
• Inspire Pelvic Therapy Battle Creek PLLC
• Integrative Interventional Physiatry, PLC
• Interface Consultation Services
• Margrete Anne Irish-Pearson, DNP, APRN

• Family Nurse Practitioner in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.