Individual provider Active NPI

Okwuchi Uchendu, CRNP

  • Family Nurse Practitioner
  • Reading, PA
National Provider Identifier
1073262978
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025487 Issued in PA
Practice address
645 Penn St Ste 301
Reading, PA 19601-3527
Phone
(610) 988-4838
Fax
(610) 988-4824
NPI assigned
Mar 20, 2022
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025487 PA Primary

Addresses

Primary practice location

645 Penn St Ste 301
Reading, PA 19601-3527

Mailing address

645 Penn St Ste 301
Reading, PA 19601-3527
Phone (610) 988-4838

Other practice location 1

1401 Stone Ridge Rd
Sinking Spring, PA 19608-9534
Phone (207) 227-2586

Other identifiers 1

IdentifierTypeStateIssuer
1040233290001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220617001093 PA Practitioner - Nurse Practitioner 7113306382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince Jun 17, 2022 Accepting new patients
Berks Community Health Center CurrentSince Jun 17, 2022 Accepting new patients

Locations

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1073262978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "610-988-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PENN ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013527",
            "telephone_number": "610-988-4838",
            "fax_number": "610-988-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Stone Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sinking Spring",
            "state": "PA",
            "postal_code": "196089534",
            "country_code": "US",
            "telephone_number": "207-227-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UCHENDU",
        "first_name": "OKWUCHI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040233290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.