Individual provider Active NPI

Rachel Ingram, SLP

  • Speech-Language Pathologist
  • Beckley, WV
National Provider Identifier
1780304584
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0968 Issued in WV
Practice address
1769 Robert C Byrd Drive
Beckley, WV 25801-8644
Phone
(304) 860-1048
Fax
(304) 860-1049
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0968 WV Primary

Addresses

Primary practice location

1769 Robert C Byrd Drive
Beckley, WV 25801-8644

Mailing address

1701 Robert C Byrd Dr
Beckley, WV 25801-8644
Phone (304) 222-2329

Other identifiers 1

IdentifierTypeStateIssuer
1174282065OtherWVGROUP NPI

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0968WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Outpatient Clinic LLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

1769 Robert C Byrd Dr
Beckley, WV 25801
Phone (304) 222-2329

1701 Robert C Byrd Dr
Beckley, WV 25801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1780304584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018644",
            "telephone_number": "304-222-2329",
            "fax_number": "304-894-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 ROBERT C BYRD DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018644",
            "telephone_number": "304-860-1048",
            "fax_number": "304-860-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "RACHEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "0968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174282065",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.