Active NPI
Jeanne Marie Ingram, L.V.N.
- Licensed Vocational Nurse
- Bakersfield, CA
National Provider Identifier
1952526121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN194430
- Practice address
- 10301 Crandon Park Dr
Bakersfield, CA 93312-6327 - Phone
- (661) 587-2600
- NPI assigned
- Apr 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN194430 | CA | Primary |
Addresses
Primary practice location
10301 Crandon Park Dr
Bakersfield, CA 93312-6327
Mailing address
10301 Crandon Park Dr
Bakersfield, CA 93312-6327
Phone (661) 587-2600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN194430 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952526121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 CRANDON PARK DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933126327",
"telephone_number": "661-587-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 CRANDON PARK DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933126327",
"telephone_number": "661-587-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.V.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN194430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Infusion and Clinical Services, Inc. (Premier Urgent Care of Central California)
- Infusion and Clinical Services, Inc.
- Infusion and Clinical Services,Inc (Premier Valley Medical Group)
- Infusion and Clinical Services,Inc (Premier Valley Medical Group)
- Elias Inga Jaco, MD
- Ingram'S Pharmacy, LLC (Ingram's Pharmacy)
- Yamilette Iniguez Garcia, FNP
- Mario Andres Iniguez
- Noreida Iniguez
- Inner Beacon Therapy a Licensed Professional Clinical Counselor Co (Inner Beacon Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.