Active NPI
Connie Ingram, RN
- Registered Nurse
- Sunrise, FL
National Provider Identifier
1972075562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1730862
- Practice address
- 1970 Sawgrass Mills Cir
Sunrise, FL 33323-2994 - Phone
- (954) 512-1650
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1730862 | FL | Primary |
Addresses
Primary practice location
1970 Sawgrass Mills Cir
Sunrise, FL 33323-2994
Mailing address
1970 Sawgrass Mills Cir
Sunrise, FL 33323-2994
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1730862 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1972075562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 SAWGRASS MILLS CIR",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 SAWGRASS MILLS CIR",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232994",
"telephone_number": "954-512-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "CONNIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN1730862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
- Infinity Behavorial Health Services LLC
- Infinity Healthcare Medical LLC
- Infinity Heartcare Group LLC
- Infinity Urgent Care LLC
- Nicole Ingicco
- Ingrid Whitbourne-Cooke, O.D.,P.a.
- Injury Treatment Center of Florida, LLC
- Insight Psychiatric Services P.a.
- Integrated Dermatology of West Broward LLC
- Integrated Hand & Therapy Specialists LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.