NPI age
18 years
Enumerated 2007-09-20
● Active
Type 1 · Individual
DR. Mica Jill Ingram, AU.D.
Ingram is 1 of 8 audiologist providers in Irving and 1 of 1654 in Texas.
Primary specialty
Audiologist
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1654 active audiologist providers in Texas.
NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Practice location
400 W Ih 635 Fwy Ste 360
Irving, TX 750633764
Mailing address
400 W Ih 635 Fwy Ste 360
Irving, TX 750633764
Additional practice locations
1 secondary location on file with NPPES.
Location 2
405 State Highway 121, Suite A250
Lewisville, TX 75067
Specialties
-
Audiologist Primary(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 211151001 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.