Active NPI
Patricia M Ingalls, AU.D.
- Audiologist
- Butte, MT
National Provider Identifier
1790865889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 248
- Practice address
- 1369 Harrison Ave
Suite C
Butte, MT 59701-4875 - Phone
- (406) 723-6600
- Fax
- (406) 723-6660
- NPI assigned
- Oct 16, 2006
- Last updated
- Nov 2, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 248 | MT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 141 | MT |
Addresses
Primary practice location
1369 Harrison Ave
Suite C
Butte, MT 59701-4875
Mailing address
1369 Harrison Ave
Suite C
Butte, MT 59701-4875
Phone (406) 723-6600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0530374 | Medicaid | MT | |
| 0569400 | Medicaid | MT | |
| 029028 | Other | MT | BLUECROSS BLUESHIELD |
| 0151151 | Other | WA | WASH LABOR & INDUSTRY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 141 | MT | MD | Massage Therapist |
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.
-
dba Highland Hearing Center PLLC
- Hearing and Speech Clinic/Center
- Butte, MT
- NPI 1609950633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1790865889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 HARRISON AVE",
"address_2": "SUITE C",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014875",
"telephone_number": "406-723-6600",
"fax_number": "406-723-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1369 HARRISON AVE",
"address_2": "SUITE C",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014875",
"telephone_number": "406-723-6600",
"fax_number": "406-723-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGALLS",
"first_name": "PATRICIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MT",
"license": "248",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MT",
"license": "141",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0530374",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0569400",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "029028",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASH LABOR & INDUSTRY",
"identifier": "0151151",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.