Active NPI
Katherine Brooks Ingram, CRNA
- Certified Registered Nurse Anesthetist
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA -
- Practice address
- 2014 Washington St
Newton, MA 02462-1607 - Phone
- (617) 243-6298
- Fax
- (505) 841-1956
- NPI assigned
- Feb 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000169920 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA - | NM | Primary |
Addresses
Primary practice location
2014 Washington St
Newton, MA 02462-1607
Mailing address
1720 Louisiana Blvd NE
Suite #401
Albuquerque, NM 87110-7022
Phone (505) 260-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6298
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA - | NM | MD | Certified Registered Nurse Anesthetist |
| RN0000169920 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Anesthesia Associates, Inc | Current | Accepting new patients | |
| Winchester Anesthesia Associates 2 Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Capa Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia Associates, Inc | Current | Accepting new patients | |
| Cap Anesthesia, PC | Past | Accepting new patients | |
| Anesthesia Associates of New Mexico P C | Past | Accepting new patients |
Locations
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Pain Medicine (Anesthesiology) Physician
- Newton, MA
- NPI 1184645194
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1629723002
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Winchester, MA
- NPI 1427599588
-
- Pain Medicine (Anesthesiology) Physician
- Winchester, MA
- NPI 1972626117
-
- Anesthesiology Physician
- Weston, MA
- NPI 1497763213
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1699047605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LOUISIANA BLVD NE",
"address_2": "SUITE #401",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107022",
"telephone_number": "505-260-4300",
"fax_number": "505-260-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621607",
"telephone_number": "617-243-6298",
"fax_number": "505-841-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KATHERINE",
"middle_name": "BROOKS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000169920",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA -",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.