Individual provider Active NPI

Patricia M Ingalls, AU.D.

  • Audiologist
  • Butte, MT
National Provider Identifier
1790865889
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
248 Issued in MT
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0530374MedicaidMT
0569400MedicaidMT
029028OtherMTBLUECROSS BLUESHIELD
0151151OtherWAWASH 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

LicenseStateTypeSpecialty
248MTMDAddiction (Substance Use Disorder) Counselor
141MTMDMassage 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.

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.

Verify at the official NPI Registry.