Individual provider Active NPI

Chinwe Anthonia Chukwumerije

  • Psychiatric/Mental Health Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1144018565
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034832 Issued in CA
Practice address
2570 N 1St St
San Jose, CA 95131-1035
Phone
(408) 677-9831
NPI assigned
Apr 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034832 CA Primary

Addresses

Primary practice location

2570 N 1St St
San Jose, CA 95131-1035

Mailing address

5542 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 677-9831

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2570 N 1St St
San Jose, CA 95131-1035

622 Skyway Dr
San Jose, CA 95111-2687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95034832CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Demoby Essence Care Inc Psychiatric/Mental Health CurrentSince May 20, 2026 Accepting new patients

Locations

2570 N 1st St
Ste 249
San Jose, CA 95131

2570 N 1st St
San Jose, CA 95131
Phone (408) 677-9831

Organizations & group practices 1

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": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1144018565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 MONTEREY HWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381529",
            "telephone_number": "408-677-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311035",
            "telephone_number": "408-677-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUMERIJE",
        "first_name": "CHINWE",
        "middle_name": "ANTHONIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.