Individual provider Active NPI

Shaleta Ingram, CNP

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1710519277
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145110 Issued in TX
Practice address
305 Shands Dr
Lufkin, TX 75904-2885
Phone
(936) 225-3657
Fax
(936) 899-7293
NPI assigned
Feb 12, 2020
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145110 TX Primary

Addresses

Primary practice location

305 Shands Dr
Lufkin, TX 75904-2885

Mailing address

305 Shands Dr
Lufkin, TX 75904-2885
Phone (936) 225-3657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200320002569 TX Practitioner - Nurse Practitioner 5193153328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kindrell S Tucker MD PAGroup PAC ID 4587936125, 2 clinicians

Practice addresses (Care Compare)

305 Shands Dr
Lufkin, TX 75904-2885
Phone (936) 225-3657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kindrell S. Tucker, MD, PA CurrentSince Feb 18, 2020 Accepting new patients

Locations

1320 S John Redditt Dr
Ste B
Lufkin, TX 75904
Phone (936) 225-3657

305 Shands Dr
Lufkin, TX 75904
Phone (936) 225-3657

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16092/brand/3/csg/1/fhir/r4
  • Direct secure messaging: shaleta.ingram.1@16092.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1710519277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHANDS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042885",
            "telephone_number": "936-225-3657",
            "fax_number": "936-899-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SHANDS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759042885",
            "telephone_number": "936-225-3657",
            "fax_number": "936-899-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "SHALETA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.