NICKI GOSSAGE INGRAM (NPI# 1235646472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235646472 |
| Entity Type | Individual |
| Full Name | NICKI GOSSAGE INGRAM |
| Credential | BS, CLC, LCCE, IBCLC |
| Practice Address |
1920 Southview Ave Bartlesville OK 74003-6234 |
| Practice Telephone | 9185789036 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
1920 SOUTHVIEW AVE |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922513217 | Katherine Elizabeth Owens | Lactation Consultant, Non-RN | 423 W 7th St, Hominy, OK 74035-4047 | 2017-12-07 |
| 1053833525 | Jessica C Halley | Lactation Consultant, Non-RN | 3137 Nw 66th St, Oklahoma City, OK 73116-3407 | 2017-07-16 |
| 1225584865 | Ashley Lynn Barrett | Lactation Consultant, Non-RN | 11124 Sw 31st St, Mustang, OK 73099 | 2016-09-01 |
| 1467800532 | Brooke Jared | Lactation Consultant, Non-RN | 4032 E 47th St, Tulsa, OK 74135-1918 | 2016-05-31 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1205290012 | Kristina Amiraslani | Lactation Consultant, Non-RN | 1924 Bunting Ct, Edmond, OK 73034-6108 | 2016-04-07 |
| 1952768533 | Courtney Strain | Lactation Consultant, Non-RN | 1416 Ne 4th St, Moore, OK 73160-7871 | 2016-01-27 |
| 1194199653 | Devon Mullins | Lactation Consultant, Non-RN | 19501 S 4210 Rd, Claremore, OK 74019-4241 | 2015-11-20 |
| 1689060121 | Mae Grayson | Lactation Consultant, Non-RN | 816 Denison Dr, Norman, OK 73069-7516 | 2015-04-11 |
| 1760872501 | Brittney Kohl | Lactation Consultant, Non-RN | 5124 Twining Dr, Oklahoma City, OK 73145-4655 | 2015-02-02 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
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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.