Carolyne Michele Ingram, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

AP30003413 Issued in WA

Practice address

Mt. Shuksan Family Medicine
2216 Cornwall Ave
Bellingham, WA 98225

Phone

(360) 647-1900

NPI assigned

Aug 25, 2006

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Bloom Womens Healthcare PLLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Bellingham, WA
  • NPI 1922891597
  NPD (past)
• P. Gill Obsteterics & Gynecology Medical Group, Inc

  • Registered Nurse
  • Lodi, CA
  • NPI 1245629526
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1811005333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253719",
            "telephone_number": "360-647-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MT. SHUKSAN FAMILY MEDICINE",
            "address_2": "2216 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "CAROLYNE",
        "middle_name": "MICHELE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP30003413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9613050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinity Cancer Care PC (Infinity Cancer Care)
• Infinity Cancer Care PC (Infinity Cancer Care)
• Infusion Solutions Inc (Infusion Solutions)
• Ashley Elizabeth Ingalls, CPHT
• Jennifer M Ingham
• Injury Massage Clinic
• Bryce Inks
• Inland Northwest Renal Care Group, LLC (Fresenius Kidney Care Whatcom County Home)
• Casey McConnell Inman, ARNP, LAC
• Aimee Willow Innes, MA, LMHC

• Obstetrics & Gynecology Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.