MS. KAILEY ANN INGRAM (NPI# 1780293688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780293688 |
| Entity Type | Individual |
| Full Name | MS. KAILEY ANN INGRAM |
| Credential | ARNP |
| Practice Address |
3600 30th St Des Moines IA 50310-5753 |
| Mailing Address |
420 7th St West Des Moines IA 50265-4517 |
| Practice Telephone | 5156995999 |
| Mailing Telephone | 5158673394 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G159859 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 30TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635854 | Douglas J Fitzgerald | Pharmacist | 3600 30th St, Pharmacy Dept Mail Stop 119, Des Moines, IA 50310-5876 | 2005-08-04 |
| 1144821091 | Grace Fenner | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-06 |
| 1356942213 | Megan Trimble | Recreation Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-05 |
| 1881295376 | Christine Louise Way | Respiratory Therapist, Registered | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-03 |
| 1457951568 | Paige N Webb | Technician, Pathology | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-28 |
| 1407455546 | Suzanne Elizabeth Anderson | Music Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-20 |
| 1457958787 | Cole Jones Fister | Physical Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-09 |
| 1548875909 | Jessica Rose-stults Quintanilla | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-09-12 |
| 1679181606 | John Matthew Boltz | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-15 |
| 1578186607 | Abigail Caslow | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417403916 | Alpha Allied Mental Health Services | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2016-08-25 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1710389846 | Lakew Adnew | Nurse Practitioner | 22634 10th Ave S, Des Moines, WA 98198-6915 | 2014-09-19 |
| 1316356496 | Kimberly N Roberts | Nurse Practitioner | 700 E University Ave # 3w, Des Moines, IA 50316-2302 | 2014-08-04 |
| 1134231459 | Grace V Hatcher | Nurse Practitioner | 520 42nd St, Suite A, Des Moines, IA 50312-2757 | 2006-08-31 |
| 1275147910 | Amazon Psychiatry | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2020-09-01 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1801435326 | Erin Leigh Federspiel | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-01-01 |
| 1477199198 | Sajo Joseph Thomas | Nurse Practitioner | 945 19th St, Des Moines, IA 50314-1117 | 2019-11-18 |
| 1932755022 | Erin L Bailey | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2019-08-14 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on MS. KAILEY ANN 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.