Constance Chukwuka, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

974378 Issued in NJ

Practice address

1350 Scenic Hwy N, Suite 266, RM 203
Snellville, GA 30078-7924

Phone

(973) 444-8181

Fax

(908) 998-2054

NPI assigned

Nov 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, DC, MD3 enrollments

Enrollment records 3

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chukwuka.constance@ca-md.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medstar Health Weight Management, LLC

  • Family Medicine Physician
  • Linthicum Heights, MD
  • NPI 1013785971

  DC, Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1226102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1033363718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 MEDLOCK WOODS DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392722",
            "telephone_number": "973-444-8181",
            "fax_number": "908-998-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N, SUITE 266, RM 203",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787924",
            "telephone_number": "973-444-8181",
            "fax_number": "908-998-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUKA",
        "first_name": "CONSTANCE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-08",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005717",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "974378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choice Eye Care, LLC
• Chosen Hospice LLC
• Patricia Ann Chrisman, C.R.N.A.
• Mary McMahan Christenbury, M.D.
• Pamela Litchfield Chubbuck, LPC, LISW
• CJC Health Solutions, LLC
• Clark Counseling & Consulting, Inc.
• Aletha Jennifer Clark, PHD, LPC
• Renee Clark
• Sandra Clark, L.C.S.W.

• Registered Dietitian in Snellville, GA
• Providers in Snellville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.