MRS. AMBER SUZANNE INGRAM


Address: 1426 Canyon Ave Ne, Live Oak, FL 32064
Phone: 8632080537

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 21213600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
611 Se Demorest St, Live Oak, FL 32064 3863625437 3863625440

Other Providers AMBER INGRAM

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

Office Location

Street Address 1426 CANYON AVE NE
City LIVE OAK
State FL
Zip Code 32064

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013927995 Melania J Willis Nurse Practitioner 701 Ohio Ave S, Live Oak, FL 32064-3816 2006-08-09

Providers in the same taxonomy and state

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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Competitor

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City LIVE OAK
Zip Code 32064

Improve Information

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Dataset Information

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.

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