Individual provider Active NPI

Uchenna Chukwudi-Emile

  • Licensed Practical Nurse
  • Valley Stream, NY
National Provider Identifier
1043076433
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
34955201 Issued in NY
Practice address
1013 Rottkamp St Apt 2
Valley Stream, NY 11580-1641
Phone
(516) 444-8223
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 34955201 NY Primary

Addresses

Primary practice location

1013 Rottkamp St Apt 2
Valley Stream, NY 11580-1641

Mailing address

1013 Rottkamp St Apt 2
Valley Stream, NY 11580-1641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34955201NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1043076433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ROTTKAMP ST APT 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 ROTTKAMP ST APT 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801641",
            "telephone_number": "516-444-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUDI-EMILE",
        "first_name": "UCHENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "34955201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.