SUSAN INGRAM (NPI# 1952779878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952779878 |
| Entity Type | Individual |
| Full Name | SUSAN INGRAM |
| Practice Address |
405 Locust Ave Oakdale NY 11769-1651 |
| Practice Telephone | 6314339284 |
| Mailing Telephone | 6314339284 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
704126-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693126 | Susan Renae Ingram | Physical Therapy Assistant | 911 Stacey Burk Dr, Flora, IL 62839-3241 | 2019-11-17 |
| 1801802921 | Susan Marie Ingram | Clinical Neuropsychologist | 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103-6224 | 2006-07-31 |
| Street Address |
405 LOCUST AVE |
| City | OAKDALE |
| State | NY |
| Zip Code | 11769-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717460 | Janine Fiorello | Nurse Practitioner | 405 Locust Ave, Oakdale, NY 11769-1651 | 2006-11-16 |
| 1609423128 | Leann Bonnie Thaw | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1651 | 2019-08-20 |
| 1982178638 | Shelby Danna | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1695 | 2019-01-16 |
| 1417449000 | Renee Siebert | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1651 | 2018-05-31 |
| 1790293371 | Frankielynn Locascio | Counselor | 405 Locust Ave, Oakdale, NY 11769-1651 | 2018-01-17 |
| 1588180301 | Francis Kenneth Chapman | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1651 | 2017-08-15 |
| 1528592185 | Skills Unlimited, Inc. | Community/Behavioral Health | 405 Locust Ave, Skills Unlimited, Inc., Oakdale, NY 11769-1651 | 2017-04-20 |
| 1174975015 | Eileen Golon | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1651 | 2016-07-04 |
| 1447611025 | Meesha Chan | Social Worker | 405 Locust Ave, Oakdale, NY 11769-1651 | 2016-03-10 |
| 1477920734 | Joy Wagner | Registered Nurse | 405 Locust Ave, Oakdale, NY 11769 | 2015-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1346583416 | Daniel Mathew Mccarthy | Registered Nurse | 151 Bridle Way, Oakdale, NY 11769 | 2013-03-27 |
| 1932469434 | Gail Santos | Licensed Practical Nurse | 141a Oakdale Bohemia Rd, Oakdale, NY 11769 | 2012-05-18 |
| 1609184647 | Jennifer King Farnum | Counselor | 371 Locust Ave, Oakdale, NY 11769 | 2010-09-23 |
| 1912220302 | Daniel Sacks Litwin | Acupuncturist | 2 Berard Blvd, Oakdale, NY 11769 | 2010-03-12 |
| 1760628804 | Deborah Ann Dimarzo | Massage Therapist | 5 Race Pl, Oakdale, NY 11769 | 2008-12-19 |
| 1790904662 | Agnes Marie Drescher | Social Worker | 532 Race Place, Oakdale, NY 11769 | 2007-04-25 |
| 1275652166 | Gina Marie Guschel | Physician Assistant | 4568 Sunrise Highway, Oakdale, NY 11769 | 2007-03-29 |
| 1366578726 | Mark Salerno | Dentist | 1219 Montauk Highway, Oakdale, NY 11769 | 2007-02-27 |
| 1609919984 | Bonnie Lynn Rubell | Occupational Therapist | 1227 2 Montauk Highway, Tender Age Pt Inc, Oakdale, NY 11769 | 2007-02-15 |
| Find all providers in zip 11769 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052817 | Denise Hoskins | Registered Nurse | 2332 Semillion Ct, Oakdale, CA 95361-8250 | 2017-02-13 |
| 1952463390 | Michelle F Demulling | Registered Nurse | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2006-12-14 |
| 1720192305 | Linda Robertson | Registered Nurse | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688864 | Shayna Feuer | Registered Nurse | 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 | 2020-10-28 |
| 1932716297 | Sonia Somwar | Registered Nurse | 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 | 2020-09-29 |
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1912519059 | Anu Vazhappilly | Registered Nurse | 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 | 2020-08-19 |
| 1336759430 | Christopher Colin Fish | Registered Nurse | 10 County Center Rd, White Plains, NY 10607-1537 | 2020-08-04 |
| 1265041172 | Samantha M Joanette | Registered Nurse | 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 | 2020-07-27 |
| 1760009062 | Jake Hernandez | Registered Nurse | 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439 | 2020-07-02 |
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1295357986 | Sarah Elizabeth Elkin | Registered Nurse | 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 | 2020-05-15 |
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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.