Active NPI
Toddy Farrell Ingram, ARNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Olympia, WA
National Provider Identifier
1891987715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30007838
- Practice address
- 200 Lilly Rd NE
Olympia, WA 98506-5427 - Phone
- (360) 918-8336
- NPI assigned
- Aug 14, 2007
- Last updated
- Nov 4, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30007838 | WA | Primary |
Addresses
Primary practice location
200 Lilly Rd NE
Olympia, WA 98506-5427
Mailing address
200 Lilly Rd NE Ste C
Olympia, WA 98506-5080
Phone (360) 918-8336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190719000659 | WA | Order and Referring Only - Nurse Practitioner | 7113253725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1891987715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LILLY RD NE STE C",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065080",
"telephone_number": "360-918-8336",
"fax_number": "360-628-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065427",
"telephone_number": "360-918-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "TODDY",
"middle_name": "FARRELL",
"name_prefix": "Mr.",
"credential": "ARNP-PMH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30007838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.