Individual provider Active NPI

Natasha T Ingram, ARNP, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1922572023
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000928 Issued in FL
Practice address
1028 Dunn Ave
Jacksonville, FL 32218-4830
Phone
(904) 766-7606
Fax
(904) 766-7679
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLC 507 clinicians

Practice addresses (Care Compare)

449621 W Hwy 301
Suite 110
Callahan, FL 32011-9348
Phone (904) 507-2692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190430001271 FL Practitioner - Nurse Practitioner 4082956719 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000928FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jun 13, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Feb 1, 2022 Accepting new patients
American Care of North Florida, Inc CurrentSince Apr 15, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Feb 1, 2022 Accepting new patients
American Care of North Florida, Inc CurrentSince Apr 15, 2019 Accepting new patients
American Care of North Florida, Inc PastSince Jan 1, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

200 W State Road 436
Ste 1020
Altamonte Springs, FL 32714

449621 US Highway 301
#110
Callahan, FL 32011
Phone (904) 507-2692

4404 S Highway 27
Clermont, FL 34711

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1100 Cesery Blvd
Jacksonville, FL 32211
Phone (904) 551-5884

500 McDuff Ave S
Jacksonville, FL 32254
Phone (904) 506-4044

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

1028 Dunn Ave
Jacksonville, FL 32218
Phone (904) 485-6739

6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

Interoperability endpoints

  • Direct secure messaging: natasha.ingram.1@29601.direct.athenahealth.com
  • Direct secure messaging: natasha.ingram.2@29601.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000928 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1028 Dunn Ave
Jacksonville, FL 32218-4830

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone (904) 862-2175

Other practice location 2

6029 Gilchrist Rd
Jacksonville, FL 32219-2600
Phone (904) 330-7883

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address natasha.ingram.2@29601.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2026.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1922572023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184830",
            "telephone_number": "904-766-7606",
            "fax_number": "904-766-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6841 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322444418",
            "country_code": "US",
            "telephone_number": "904-862-2175",
            "fax_number": "904-862-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Gilchrist Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322192600",
            "country_code": "US",
            "telephone_number": "904-330-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "NATASHA",
        "middle_name": "T",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natasha.ingram.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1028 Dunn Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322184830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.