JESSICA A. INGRAM (NPI# 1639142250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639142250 |
| Entity Type | Individual |
| Full Name | JESSICA A. INGRAM |
| Credential | MNT |
| Practice Address |
1 Penn Blvd. Suite 2240 Philadelphia PA 19144 |
| Practice Telephone | 2159919440 |
| Practice Fax Number | 2158492975 |
| Mailing Telephone | 2159919440 |
| Mailing Fax Number | 2158492975 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
DN000551 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577053 | Jessica C Ingram | Nurse Practitioner | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2020-10-26 |
| 1790259422 | Jessica D Ingram | Nurse Practitioner | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2019-01-16 |
| 1295918423 | Jessica L Ingram | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2007-12-11 |
| Street Address |
1 PENN BLVD. SUITE 2240 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750730156 | Brittany Dorothy Lucchetto | Dietitian, Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-06-07 |
| 1285059022 | Tiffany A Donahue | Dietitian, Registered | 3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 | 2014-03-04 |
| 1518382340 | Wanda K Rooney | Dietitian, Registered | 3400 Spruce St, 19 Penn Tower, Philadelphia, PA 19104-4238 | 2014-03-04 |
| 1952344079 | Carolyn M. Gaydos | Dietitian, Registered | 3998 Red Lion Rd, Nutrition Center, Frankford Hospital, Philadelphia, PA 19114-1436 | 2006-06-14 |
| 1376516997 | Linda M. Roberto | Dietitian, Registered | 10 E Moreland Ave, Suite 100, Philadelphia, PA 19118-3541 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508171802 | Leanne Kinzler | Dietitian, Registered | 1208 Oakwood Drive, Jeffeson Hills, PA 15025 | 2010-08-11 |
| 1720303696 | Kate Louise Seymour | Dietitian, Registered | 806 Goucher St, Johnstown, PA 15905-2941 | 2010-04-02 |
| 1972712537 | Ruth Ellen Kruk | Dietitian, Registered | 101 Nathan Dr, Monaca, PA 15061-2547 | 2007-05-21 |
| 1588722490 | Cheryl Disch Lewis | Dietitian, Registered | 1130 Highway 315 Ste B, Wilkes Barre, PA 18702-6952 | 2006-12-04 |
| 1235142167 | Emily Kathleen Ferrare | Dietitian, Registered | 649 E 37th St, Erie, PA 16504-1725 | 2006-08-14 |
| 1841245198 | Angela Daria Sedlacko | Dietitian, Registered | Fmc Medical Services of Greensburg Ckd Services, 562 Shearer St., Greensburg, PA 15601 | 2006-05-24 |
| 1134613920 | Amy Lynn Messick | Dietitian, Registered | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2018-06-15 |
| 1740543974 | Nina M Rucosky | Dietitian, Registered | 88 Osborne St, Johnstown, PA 15905-4146 | 2012-06-22 |
| 1962768754 | Renal Care Consultants, PC | Dietitian, Registered | 88 Osborne St, Johnstown, PA 15905-4146 | 2012-04-05 |
| 1821386418 | Pamela Marie Sopata | Dietitian, Registered | 350 Budfield St, Suite A, Johnstown, PA 15904-3214 | 2011-07-15 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on JESSICA A. INGRAM.
| 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.