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Active NPI 1508627035 Individual Practitioner Female Practitioner

Nanette Marilyn Ingram , CLC, MLC

Specialist • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Nanette Ingram, CLC, MLC is a certified Specialist practicing in Williamsburg, VA. With approximately 1 years of clinical experience since completing medical education in 2025, Nanette Ingram delivers high-quality medical care to the local community at 5907 MONTPELIER DR.

Nanette Ingram does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5907 Montpelier Dr

Williamsburg, VA 231888122

Telephone 9519058209
Associated Practice Facility / Clinic
🏢 Full Tummies Lactation, Llc Facility NPI 1992675326

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Williamsburg, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -23.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Williamsburg, VA (878 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingram (1 Years) 1 Yrs
Williamsburg Specialty Average (24.0 Years) 24.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-23
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 330626

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Practice Locations

732 Thimble Shoals Blvd Ste 603

Newport News, VA 236064257

Phone: 9519058209

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2026

Specialist (License #330626 in VA)

NPI Profile Active January 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2024

Registered at 5907 MONTPELIER DR, WILLIAMSBURG, VA 231888122 (Tel: 9519058209)

📍
Updated Business Mailing Address January 22, 2024

Registered at 5907 MONTPELIER DR, WILLIAMSBURG, VA 231888122 (Tel: 9519058209)

👤
Provider Name / Credentials Updated January 22, 2024

Recorded as NANETTE INGRAM, CLC, MLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Specialist (License #330626 in FL)

🟢
Initial NPI Registration & Enumeration January 22, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508627035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2024
Last Update: July 23, 2026
Sole Proprietor: Yes

Mailing Address

5907 Montpelier Dr

Williamsburg, VA 231888122

Phone: 9519058209

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.