Theressa Ingram, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

349904 Issued in TX

Practice address

4852 J R CT
Royse City, TX 75189-8109

Phone

(575) 200-8382

NPI assigned

Apr 2, 2020

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1972132066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 J R CT",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751898109",
            "telephone_number": "575-200-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 J R CT",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751898109",
            "telephone_number": "575-200-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "THERESSA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "349904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Marie Hoscheid
• Hunt Memorial Hospital District (Hunt Regional Medical Center Royse City)
• Hunt Memorial Hospital District (Royse City Medical Lodge)
• Jennifer Hurtado, OTR/L
• Edmon Ray Hutchison, D.D.S
• Interventional Partners (Casteel Foot & Ankle Center)
• Lilly Ituen
• Courtney D Jaeckle, MA, LPC
• Jayceton LLC
• Jocelynn Jefferson

• Licensed Practical Nurse in Royse City, TX
• Providers in Royse City, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.