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Lateifah Sharee Ingram

Physician β€’ Clinton, NC

Active NPI 1386360436 Individual Practitioner Female Practitioner
Practice location in NPPES

110 E Main St Ste 200d
Clinton, NC 283284029

Call 9194402650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

110 E Main St Ste 200d

Clinton, NC 283284029

Telephone 9194402650
Organization at the Same NPPES Address or Phone
Heart 2 Heart Healthcare Facility NPI 1154015972

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-26
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

In Home Supportive Care

NUCC Taxonomy Code: 253Z00000X

License # reported to NPPES NC HC6967

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Home Care
87122057 (NC)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 26, 2023

Registered at 110 E MAIN ST STE 200D, CLINTON, NC 283284029 (Tel: 9194402650)

βœ…
NPI Profile Active October 19, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 19, 2022

Registered at 308 W MILLBROOK RD STE F, RALEIGH, NC 276094374 (Tel: 9842220040)

πŸ“
Business Mailing Address (Initial Record) October 19, 2022

Registered at 314 PERKINS RD, GOLDSBORO, NC 275308053 (Tel: 9194402650)

πŸ‘€
Provider Name / Credentials (Initial Record) October 19, 2022

Recorded as LATEIFAH INGRAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2022

Home Health

🟒
Initial NPI Registration & Enumeration October 19, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386360436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2022
Last Update: June 26, 2023
Sole Proprietor: Yes

Mailing Address

314 Perkins Rd

Goldsboro, NC 275308053

Phone: 9194402650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.