Individual provider Active NPI

Lenina O CHI-Ukpai, A-GNP

  • Gerontology Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1164916813
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN206960 Issued in GA
Practice address
2942 Secretariat CT
Decatur, GA 30034
Phone
(770) 309-3489
NPI assigned
Jun 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN206960 GA Primary
Adult Health Nurse Practitioner 363LA2200X RN206960 GA

Addresses

Primary practice location

2942 Secretariat CT
Decatur, GA 30034

Mailing address

2942 Secretariat CT
Decatur, GA 30034-3452
Phone (770) 309-3489

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ms_lchiukp@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1164916813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 SECRETARIAT CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343452",
            "telephone_number": "770-309-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 SECRETARIAT CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30034",
            "telephone_number": "770-309-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI-UKPAI",
        "first_name": "LENINA",
        "middle_name": "O",
        "credential": "A-GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN206960",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN206960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.