Individual provider Active NPI

Chinweotito Laura Chukwu

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1083587349
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN719924 Issued in PA
Practice address
2924 W Oxford St
Philadelphia, PA 19121-2774
Phone
(610) 812-6256
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN719924 PA Primary

Addresses

Primary practice location

2924 W Oxford St
Philadelphia, PA 19121-2774

Mailing address

2924 W Oxford St
Philadelphia, PA 19121-2774
Phone (610) 812-6256

Other names 1

  • Chinweotito Laura Nwachukwu Former name

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
RN719924PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1083587349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 W OXFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212774",
            "telephone_number": "610-812-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 W OXFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212774",
            "telephone_number": "610-812-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "CHINWEOTITO",
        "middle_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN719924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINWEOTITO",
            "last_name": "NWACHUKWU",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.