Individual provider Active NPI

Uchenna Anthonia Obichere, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1013200484
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R137135 Issued in MD
Practice address
1160 Varnum St NE
Suite 317
Washington, DC 20017-2107
Phone
(202) 636-1130
Fax
(202) 636-1132
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R137135 MD
Family Nurse Practitioner 363LF0000X RN66925 DC
Family Nurse Practitioner 363LF0000X R137135 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R137135 MD Primary

Addresses

Primary practice location

1160 Varnum St NE
Suite 317
Washington, DC 20017-2107

Mailing address

9313 Frensham CT
Laurel, MD 20708-2856
Phone (301) 497-1870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000092 DC Practitioner - Nurse Practitioner 0941451207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN66925DCMDFamily Nurse Practitioner
R137135MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services Inc Nurse Practitioner CurrentSince Aug 28, 2016 Accepting new patients
Unified Primary Care & Health Services LLC Current Accepting new patients
Providence Health Services, Inc CurrentSince Aug 28, 2016 Accepting new patients

Locations

1160 Varnum St NE
#3
Washington, DC 20017
Phone (202) 854-4900

128 M St NW
Washington, DC 20001
Phone (202) 682-3840

1160 Varnum St NE
Ste 317
Washington, DC 20017
Phone (202) 529-1961

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1013200484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 FRENSHAM CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082856",
            "telephone_number": "301-497-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 317",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-636-1130",
            "fax_number": "202-636-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBICHERE",
        "first_name": "UCHENNA",
        "middle_name": "ANTHONIA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R137135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN66925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R137135",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R137135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.