Individual provider Active NPI

Chidimma Okoye

  • Psychiatric/Mental Health Nurse Practitioner
  • Milton, WA
National Provider Identifier
1134769839
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61414348 Issued in WA
Practice address
7224 Pacific High Way E
Milton, WA 98354
Phone
(253) 220-6183
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61414348 WA Primary
Registered Nurse 163W00000X RN60619724 WA

Addresses

Primary practice location

7224 Pacific High Way E
Milton, WA 98354

Mailing address

7224 Pacific High Way E
Milton, WA 98354

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cokoye@telecarecorp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231027002928 WA Practitioner - Nurse Practitioner 2668828500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telecare Mental Health Services of Washington, IncGroup PAC ID 5698804409, 22 clinicians

Practice addresses (Care Compare)

7224 Pacific Hwy E
Milton, WA 98354-9654
Phone (253) 220-6183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61414348WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Washington Inc CurrentSince Oct 1, 2023 Accepting new patients
Telecare Mental Health Services of Washington, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Alliance for South Sound Health CurrentSince Sep 30, 2023 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

7224 Pacific Hwy E
Milton, WA 98354
Phone (253) 205-0175

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Interoperability endpoints

  • Direct secure messaging: cokoye@telecarecorp.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1134769839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 PACIFIC HIGH WAY E",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "98354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 PACIFIC HIGH WAY E",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "98354",
            "telephone_number": "253-220-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "CHIDIMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61414348",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60619724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cokoye@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7224 Pacific High Way E",
            "city": "Milton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, WA

Sources for this page

Verify at the official NPI Registry.