BRENDA LEIGH INGRAM (NPI# 1679688675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679688675 |
| Entity Type | Individual |
| Full Name | BRENDA LEIGH INGRAM |
| Other Name | BRENDA LEIGH HALE |
| Credential | PA-C |
| Practice Address |
115 Airport Rd Sulphur Springs TX 75482-2105 |
| Mailing Address |
Po Box 841656 Dallas TX 75284-1656 |
| Practice Telephone | 9038857671 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03143 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 313744006 | 05 | |
| TX | TRICARE | 75-1976930-005 | 01 |
| TX | TRICARE | 75-2616977-028 | 01 |
| TX | BCBS | 8479MA | 01 |
| TX | 313744007 | 05 | |
| TX | BCBS | 8478MA | 01 |
| TX | TRICARE | 75-0818167-048 | 01 |
| TX | RAIL ROAD MEDICARE | P01761904 | 01 |
| TX | 313744004 | 05 | |
| TX | TRICARE | 75-0818167-022 | 01 |
| TX | 313744005 | 05 | |
| TX | RAIL ROAD MEDICARE | P01762486 | 01 |
| TX | TRICARE | 75-2616977-002 | 01 |
| TX | TRICARE | 75-2616977-129 | 01 |
| TX | TRICARE | 75-0818167-044 | 01 |
| TX | TRICARE | 75-0818167-015 | 01 |
| TX | TRICARE | 75-2616977-001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871834903 | Brenda Ingram | Registered Nurse | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2013-03-14 |
| 1407974397 | Brenda Kaye Ingram | Social Worker | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2007-03-27 |
| Street Address |
115 AIRPORT RD |
| City | SULPHUR SPRINGS |
| State | TX |
| Zip Code | 75482-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740387 | William E Dietze | Specialist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2005-06-16 |
| 1912523531 | Amanda G Camacho | Registered Nurse | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2020-06-19 |
| 1255844650 | Chun-hong Cathy Zhu | Pharmacist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2017-11-08 |
| 1275057358 | Breanne Miles | Nurse Practitioner | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2017-07-31 |
| 1457702201 | Texas Regional Anesthesia Medical Group, P.a | Nurse Anesthetist, Certified Registered | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-23 |
| 1194174524 | Christus Hopkins Health Alliance | Rehabilitation Unit | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-07 |
| 1033568621 | Christus Hopkins Health Alliance | General Acute Care Hospital | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2016-06-06 |
| 1710353487 | Abigail Martin | Nurse Practitioner | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2015-08-18 |
| 1093195513 | Grayce Arah Ebai | Pharmacist | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2015-06-01 |
| 1356751788 | Hopkins County Hospital District | Skilled Nursing Facility | 115 Airport Rd, Sulphur Springs, TX 75482-2105 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211866 | Carolyn Sue Wheeler | Pharmacist | 809 Gilmer Rd, Sulphur Springs, TX 75482 | 2020-10-05 |
| 1952940371 | Max Baxter II | Technician | 130 Sherry Lane, Sulphur Springs, TX 75482 | 2020-01-02 |
| 1700427093 | Talon Thomas Bell | Chiropractor | 2655 Texas Highway 11 East, Sulphur Springs, TX 75482 | 2019-10-08 |
| 1184275711 | Community Health Service Agency, Inc. | Clinic/Center | 105-ll Medical Plaza, Sulphur Springs, TX 75482 | 2019-09-25 |
| 1184107211 | Julie Ann Gustafson | Registered Nurse | 60 Cr 2323, Sulphur Springs, TX 75482 | 2018-09-14 |
| 1437639317 | Heath White | Physical Therapy Assistant | 3846 Fm 2285, Sulphur Springs, TX 75482 | 2018-08-20 |
| 1336650175 | Sulphur Springs Chiropractic Associates Inc | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482 | 2017-10-19 |
| 1497027361 | Daniel Lawrence, Dds, PC | Clinic/Center | 620 Church Street, Sulphur Springs, TX 75482 | 2012-02-07 |
| 1952607467 | Travis J Wies | Nurse Practitioner | 1339 S Broadway St, Sulphur Springs, TX 75482 | 2011-01-31 |
| 1205163458 | Ashlei Thomas | Social Worker | 803 Putman St, Sulphur Springs, TX 75482 | 2009-11-09 |
| Find all providers in zip 75482 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204288 | Chandra Deel Oud | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2006-02-15 |
| 1700290558 | Meghan Elizabeth Bryan | Physician Assistant | 1513 Houston St, Sulphur Springs, TX 75482-2315 | 2014-06-19 |
| 1699197699 | Samantha Steinis | Physician Assistant | 1339 S Broadway St, Sulphur Springs, TX 75482-4895 | 2014-01-09 |
| 1922373810 | Emily Ann Noble | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2012-03-12 |
| 1164654737 | Adrian Denise Childress | Physician Assistant | 1317 N Hillcrest Dr, Sulphur Springs, TX 75482-2091 | 2009-08-17 |
| 1972640266 | Michael Daniel Shortt | Physician Assistant | 113 Medical Cir, Sulphur Springs, TX 75482-2138 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | SULPHUR SPRINGS |
| Zip Code | 75482 |
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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.