LESLIE INGRAM (NPI# 1336564202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336564202 |
| Entity Type | Individual |
| Full Name | LESLIE INGRAM |
| Credential | FNP |
| Practice Address |
6025 Blakeney Park Dr Ste 100 Charlotte NC 28277-5703 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7046674480 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5006777 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 300 Mooresville Rd, Kannapolis, NC 280810304 | 7049201000 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659771061 | Leslie Ingram | Registered Nurse | 270 County Hospital Rd, Suite 109, Quincy, CA 95971-9180 | 2014-09-04 |
| Street Address |
6025 BLAKENEY PARK DR STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157767 | Felicia Baxter | Pediatrics | 6025 Blakeney Park Dr, Suite 100, Charlotte, NC 28277-5703 | 2006-05-02 |
| 1700287554 | Sara Grigston | Nurse Practitioner | 6025 Blakeney Park Dr, Ste 100, Charlotte, NC 28277-5703 | 2014-09-11 |
| 1518394527 | Jessica Lynch | Nurse Practitioner | 6025 Blakeney Park Dr, Ste 100, Charlotte, NC 28277-5703 | 2013-10-04 |
| 1417205220 | Jumana Shebib Scoggins | Counselor | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2012-08-28 |
| 1285995415 | Carolinas Physicians Network Inc | Internal Medicine | 6025 Blakeney Park Dr, Ste 100, Charlotte, NC 28277-5703 | 2012-06-05 |
| 1861637589 | Myah Tarnow Gittelson | Psychologist | 6025 Blakeney Park Dr, Charlotte, NC 28277-5703 | 2008-12-09 |
| 1033354923 | Karen Shelton | Psychologist | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2008-12-08 |
| 1841449113 | Sueanne Clark | Nurse Practitioner | 6025 Blakeney Park Dr, Ste 100, Charlotte, NC 28277-5703 | 2008-09-11 |
| 1578633343 | Peter Gerald Mcgourty | Counselor | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2006-11-09 |
| 1093885832 | Expect Success Inc | Counselor | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700021060 | Kawanna Torrie Skinner | Nurse Practitioner | 2607 West Arrowood Road, Charlotte, NC 28273-6134 | 2008-12-15 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1558995266 | Dana Cuddihy | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-03-03 |
| 1568000214 | Kristy Minor Rogers | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2019-12-12 |
| 1770126229 | Victoria Ranero | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2019-10-28 |
| 1861957334 | Camille Wood | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2019-02-08 |
| 1730659129 | Emily Denise Holland | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2018-11-28 |
| 1598266694 | Tamara Napier | Nurse Practitioner | 901 East Blvd, Charlotte, NC 28203-5203 | 2018-02-23 |
| 1285148726 | Elizabeth Dreier | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-11-20 |
| 1669998233 | Denise Lynn Eldridge | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204 | 2017-08-16 |
| Find all providers in CHARLOTTE | ||||
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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.