Individual provider Active NPI

Lena Brittany Ingraham, PPCNP-BC, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1861884835
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127297 Issued in TX
Practice address
3564 N Fourth St Ste B
Longview, TX 75605-0039
Phone
(903) 231-3144
Fax
(903) 231-3230
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP127297 TX
Nurse Practitioner 363L00000X AP127297 TX
Family Nurse Practitioner 363LF0000X AP127297 TX Primary

Addresses

Primary practice location

3564 N Fourth St Ste B
Longview, TX 75605-0039

Mailing address

3564 N Fourth St Ste B
Longview, TX 75605-0039
Phone (903) 231-3144

Other practice location 1

402 N Kaufman St
Linden, TX 75563-5234
Phone (903) 756-5581

Other practice location 2

219 N Polk St
Jefferson, TX 75657-2131
Phone (903) 665-2600

Other practice location 3

123 N Main St
Lone Star, TX 75668-2226
Phone (903) 656-0633

Other identifiers 1

IdentifierTypeStateIssuer
20199599MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401000047 TX Practitioner - Nurse Practitioner 6901123967 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127297TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Clinic, P.a. Pediatrics CurrentSince Feb 26, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 26, 2024 Accepting new patients
The Pediatric Clinic, P.a. CurrentSince Feb 26, 2015 Accepting new patients
Phynet, Inc. CurrentSince Jan 20, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 26, 2024 Accepting new patients
Associated Clinicians of East Texas CurrentSince Feb 1, 2025 Accepting new patients
Phynet, Inc. Past Accepting new patients
East Texas Medical Center Healthcare Associates Nurse Practitioner PastSince Nov 19, 2024 Accepting new patients

Locations

307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159

219 N Polk St
Jefferson, TX 75657
Phone (903) 665-2600

402 N Kaufman St
Linden, TX 75563
Phone (903) 665-9500

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484

2001 N Jefferson Ave
Ste 300
Mt Pleasant, TX 75455
Phone (903) 572-9823

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lingraham317235@christushealth.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1861884835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 N FOURTH ST STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050039",
            "telephone_number": "903-231-3144",
            "fax_number": "903-231-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 N FOURTH ST STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050039",
            "telephone_number": "903-231-3144",
            "fax_number": "903-231-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Kaufman St",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "TX",
            "postal_code": "755635234",
            "country_code": "US",
            "telephone_number": "903-756-5581",
            "fax_number": "903-756-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 N Polk St",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "TX",
            "postal_code": "756572131",
            "country_code": "US",
            "telephone_number": "903-665-2600",
            "fax_number": "903-665-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lone Star",
            "state": "TX",
            "postal_code": "756682226",
            "country_code": "US",
            "telephone_number": "903-656-0633",
            "fax_number": "903-656-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "LENA",
        "middle_name": "BRITTANY",
        "credential": "PPCNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP127297",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20199599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.