Theodora Chukwudi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704249499 Issued in MI

Practice address

7445 Allen Rd Ste 270
Allen Park, MI 48101-1963

Phone

(313) 920-6546

Fax

(313) 949-5793

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

90

Improvement activities

40

Cost

82.51

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theodora.chukwudi.1@28492.direct.athenahealth.com

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.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment NPD
• Supportive Care I of Michigan PC

  • Clinical Psychologist
  • Iron River, MI
  • NPI 1548995608

  Nurse Practitioner

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Nurse Practitioner

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MI

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, Nurse Practitioner

  Medicare reassignment NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130
  NPD
• Pinnacle Homecare & Wellness Inc

  • Multi-Specialty Clinic/Center
  • Taylor, MI
  • NPI 1780451625
  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1063005403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45300 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 270",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-920-6546",
            "fax_number": "313-949-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUDI",
        "first_name": "THEODORA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704249499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anika Chaudhry
• Layal H Chehab
• Childrens and Family Medical Clinic PC
• Lori Chiolino
• Chitter Chatter, P.C
• Sylvia Mary Cimino, RPT
• City of Allen Park
• Lisa Renee Clark
• Colleen a. Kunz Otrl, PLLC.
• Phyllis Collier, NP

• Family Nurse Practitioner in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.