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1891987715 NPI number — TODDY FARRELL INGRAM ARNP-PMH

NPI Number: 1891987715
Health Care Provider/Practitioner: TODDY FARRELL INGRAM ARNP-PMH

Information about “1891987715” NPI (TODDY FARRELL INGRAM ARNP-PMH) exists in 1891987715 in HTML format HTML  |  1891987715 in plain Text format TXT  |  1891987715 in PDF (Portable Document Format) PDF  |  1891987715 in an XML format XML  formats.

NPI Number : 1891987715 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891987715",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "INGRAM",
    "FirstName": "TODDY",
    "MiddleName": "FARRELL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "ARNP-PMH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 LILLY RD NE STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLYMPIA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98506-5080",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-918-8336",
    "MailingAddressFaxNumber": "360-628-8186",
    "FirstLinePracticeLocationAddress": "200 LILLY RD NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98506-5427",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-918-8336",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2007",
    "LastUpdateDate": "11/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "AP30007838",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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