Individual provider Active NPI

Floreene T. Inghram, R.N.

  • Registered Nurse
  • Mentor, OH
National Provider Identifier
1801068655
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN262321 Issued in OH
Practice address
7090 Hopkins Rd
Mentor, OH 44060-4487
Phone
(440) 255-6609
Fax
(440) 255-6609
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN262321 OH Primary

Addresses

Primary practice location

7090 Hopkins Rd
Mentor, OH 44060-4487

Mailing address

6451 Center St
Mentor, OH 44060-4109
Phone (440) 255-6609

Other identifiers 1

IdentifierTypeStateIssuer
2709126MedicaidOH

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN262321OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1801068655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604109",
            "telephone_number": "440-255-6609",
            "fax_number": "440-255-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 HOPKINS RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604487",
            "telephone_number": "440-255-6609",
            "fax_number": "440-255-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGHRAM",
        "first_name": "FLOREENE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN262321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2709126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.