MR. TODDY FARRELL INGRAM (NPI# 1891987715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891987715 |
| Entity Type | Individual |
| Full Name | MR. TODDY FARRELL INGRAM |
| Credential | ARNP-PMH |
| Practice Address |
9040 Reid St Tacoma WA 98431-1101 |
| Mailing Address |
1548 Jensen Ave Dupont WA 98327-8709 |
| Practice Telephone | 2539683172 |
| Mailing Telephone | 2533013474 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007838 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9040 REID ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671170 | Roger K Yabu | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2005-12-28 |
| 1407241763 | Sofiya Nukalo | Student in an Organized Health Care Education/Training Program | 9040 Reid St, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2015-04-03 |
| 1588993968 | Wendy Robin Cruz | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-12-15 |
| 1841428646 | Eileen Owen-williams | Nurse Practitioner | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-30 |
| 1598992927 | Deborah R Judkins | Counselor | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-11 |
| 1407001837 | Michael Cleary | Social Worker | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-26 |
| 1255586889 | Brent C Olson | Physician Assistant | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-24 |
| 1467604892 | Martha A Smith | Dietitian, Registered | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-10-16 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286336 | Annabelle T Vo | Nurse Practitioner | 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 | 2017-10-20 |
| 1114454667 | Uchenna Akukalia | Nurse Practitioner | 9040 Jackson Avenue Tacoma Wa 98431, Tacoma, WA 98431-0001 | 2017-05-15 |
| 1023569381 | Marisa Bell | Nurse Practitioner | 401 Broadway Ste 100, Tacoma, WA 98402-3900 | 2016-10-20 |
| 1225440019 | Understand Balance Mental Health Care | Nurse Practitioner | 720 6th Ave Apt 101, Tacoma, WA 98405-4661 | 2014-05-28 |
| 1053746867 | Robert Kopec | Nurse Practitioner | 5702 N 26th St Ste 1a, Tacoma, WA 98407-2406 | 2013-09-11 |
| 1093834350 | Viridian Associates, LLC | Nurse Practitioner | 707 Pacific Ave, Tacoma, WA 98402-5207 | 2007-03-28 |
| 1790831055 | Christine Karczewski | Nurse Practitioner | 9 St Helens Ave, Level B, Tacoma, WA 98402-2600 | 2007-01-26 |
| 1689725376 | Nancy Corley-wheeler | Nurse Practitioner | 608 S G Street, Tacoma, WA 98405-4625 | 2007-01-16 |
| 1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
| 1710505029 | Amity Tucker | Nurse Practitioner | 5702 N 26th St Ste A, Tacoma, WA 98407-2406 | 2020-07-13 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.