Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KODY DALTON INGRAM CRNA
NPI 1346145901
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Q: What is Kody Ingram's NPI number?

The NPI number for Kody Ingram is 1346145901. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Q: What is Kody Ingram's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kody Ingram was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2026

6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804(260) 436-7875(260) 432-9812 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kody Dalton Ingram Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODY DALTON INGRAM CRNA (NPI 1346145901) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28294559A) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1346145901

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKODY DALTON INGRAMCredential: CRNA

Location Address6435 W JEFFERSON BLVD # 434Fort Wayne, IN 46804-6203

Mailing AddressPo Box 843603Dallas, TX 75284-3603 · (407) 667-0444 · Fax (407) 667-4338

Phone(260) 436-7875

Fax(260) 432-9812

Sole ProprietorNo

Enumeration DateOctober 13, 2026

NPPES CertifiedOctober 13, 2026

✔ NPI 1346145901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IN · 28294559A

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

6435 W JEFFERSON BLVD # 434, Fort Wayne, IN 46804

Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH ALAN BURCKARDT M.D.

Anesthesiology