Ingrid M Dutton -Fortuna, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

022757 Issued in TN

Practice address

2501 Citico Ave
Chattanooga, TN 37404-1127

Phone

(423) 697-2000

Fax

(423) 697-2118

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ingrid M Dutton - Fortuna Former name

Medicare fee-for-service enrollment

Enrolled in FL, TN2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25476/brand/1/csg/1/fhir/r4

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.

• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736

  TN

  Medicare reassignment NPD
• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Park, FL
  • NPI 1780777391

  FL

  Medicare reassignment NPD
• Cardiovascular Group, PC

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1912906181
  NPD
• Memorial Health Care System, Inc.

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1851695480
  NPD
• Adventist Health System Sunbelt Inc

  • Surgical Oncology Physician
  • Orlando, FL
  • NPI 1972860823
  NPD
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD
• Central Florida Cardiology Group PA

  • Clinical Cardiac Electrophysiology Physician
  • Orlando, FL
  • NPI 1205089950
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1992900294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON -FORTUNA",
        "first_name": "INGRID",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN271420",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "022757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "022757",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "DUTTON - FORTUNA",
            "middle_name": "M",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer L Durham, M.ED, OTR/L, CHT
• Margaret Chase Durham, LCSW
• Lorraine Nicole Durisseau, MA, LPC-MHSP
• Nicole A Durrant-St.Romain, LMSW
• Dusk Therapy LLC
• Daniel Joseph Duvall, M.D.
• Michael John Duvall, D.D.S.
• Debbie M Dvorchik, CRNA
• Dwayne B. McCamish DDS Ms PC
• Linda Holsomback Dwyer, MSN APRN BC

• All providers in Chattanooga, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.