MRS. AMBER SUZANNE INGRAM (NPI# 1043219645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043219645 |
Entity Type | Individual |
Full Name | MRS. AMBER SUZANNE INGRAM |
Credential | ARNP |
Practice Address |
1426 Canyon Ave Ne Live Oak FL 32064 |
Mailing Address |
1426 Canyon Ave Ne Live Oak FL 32064-4832 |
Practice Telephone | 8632080537 |
Practice Fax Number | 3863300180 |
Mailing Telephone | 8632080537 |
Mailing Fax Number | 3863300180 |
Enumeration Date | 2005-07-18 |
Last Update Date | 2019-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP3319392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP3319392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 21213600 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
611 Se Demorest St, Live Oak, FL 32064 | 3863625437 | 3863625440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124587373 | Amber Ingram | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2019-03-18 |
1538412580 | Amber L. Ingram | Dietitian, Registered | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2012-10-16 |
1902814494 | Amber Stament Ingram | Physical Therapist | 17051 Dallas Pkwy, Ste 450, Addison, TX 75001-7109 | 2006-08-03 |
Street Address |
1426 CANYON AVE NE |
City | LIVE OAK |
State | FL |
Zip Code | 32064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174921696 | Live Oak Hma, LLC | Family Medicine | 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064-4832 | 2014-12-16 |
1699105643 | Larry Henderson | Physician Assistant | 1426 Canyon Ave Ne, Live Oak, FL 32064-4832 | 2013-11-12 |
1083881668 | Malik M. Naqi | Internal Medicine | 1426 Canyon Ave Ne, Ste C, Live Oak, FL 32064-4832 | 2008-05-13 |
1669568499 | Live Oak Hma, LLC | Clinic/Center | 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064-4832 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
Find all providers in zip 32064 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013927995 | Melania J Willis | Nurse Practitioner | 701 Ohio Ave S, Live Oak, FL 32064-3816 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
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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.