JACKIE L. INGRAM LMP
NPI 1376628248
Specialist in Olympia, WA
- Individual
- Female
- Specialist
About JACKIE INGRAM
This page provides the complete NPI Profile along with additional information for Jackie Ingram, a provider established in Olympia, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1376628248 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number MA00011670 (WA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1376628248 Verify this NPI
- Provider Name
- JACKIE L. INGRAM LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3912 MARTIN WAY E SUITE B OLYMPIA, WA 98506
- Location Phone
- (360) 459-9780
- Location Fax
- (360) 412-0581
- Mailing Address
- 460 W BULB FARM RD SHELTON, WA 98584
- Mailing Phone
- (360) 490-6490
- Mailing Fax
- (360) 412-0581
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-26-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MA00011670
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| IN7892 | OTHER (01) | WA | REGENCE BLUE SHIELD |
| 125710 | OTHER (01) | AL | DEPT. OF LABOR & IND. |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376628248, enumerated as an "individual" on October 26, 2006.
The provider is located at 3912 MARTIN WAY E SUITE B OLYMPIA, WA 98506 and the phone number is (360) 459-9780.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
