Active NPI
Shasta Ingram
- Behavior Technician
- Delta, CO
National Provider Identifier
1801305453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 115 Grand Ave Ste 2
Delta, CO 81416-2000 - Phone
- (970) 874-0464
- Fax
- (970) 874-0464
- NPI assigned
- Sep 27, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
115 Grand Ave Ste 2
Delta, CO 81416-2000
Mailing address
115 Grand Ave Ste 2
Delta, CO 81416-2000
Phone (970) 874-0464
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All American Families | Current | Accepting new patients |
Locations
115 Grand Ave
Ste 2
Delta, CO 81416
Phone (970) 874-0464
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": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801305453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GRAND AVE STE 2",
"city": "DELTA",
"state": "CO",
"postal_code": "814162000",
"telephone_number": "970-874-0464",
"fax_number": "970-874-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 GRAND AVE STE 2",
"city": "DELTA",
"state": "CO",
"postal_code": "814162000",
"telephone_number": "970-874-0464",
"fax_number": "970-874-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "SHASTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
- Douglas B Huene, MD
- Jennifer M Hutson, L.M.T
- Christina Marie Hyatt, MT
- Jodi Hyatt, RN
- Incare Healthcare Inc
- Integrated Insight Therapy, LLC
- Integrated Insight Therapy, LLC
- Integrated Insight Therapy, LLC
- Integrative Counseling Solutions LLC
- Intermountain Medical Group Grand Junction, LLC (SCL Health Medical Group - Physical Medicine & Rehab Delta)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.