Active NPI
Chika Ndukwe, DNP, FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1164972584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403710
- Practice address
- 548 Throggs Neck Expy
Bronx, NY 10465-1717 - Phone
- (800) 632-7969
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP132048 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403710 | NY | Primary |
Addresses
Primary practice location
548 Throggs Neck Expy
Bronx, NY 10465-1717
Mailing address
12038 Brownwood Dr
Frisco, TX 75035-8860
Phone (972) 897-8659
Other practice location 1
12038 Brownwood Dr
Frisco, TX 75035-8860
Phone (972) 897-8659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP132048 | Other | TX | NPD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chika.ndukwe@southend.com |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP132048 | TX | MD | Family Nurse Practitioner |
| 403710 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of Dallas, P.a. | Past | Accepting new patients | |
| Shine Pediatrics and Wellness Center P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Neurology Physician
- Dallas, TX
- NPI 1780875807
-
- Pediatrics Physician
- Richardson, TX
- NPI 1609110832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1164972584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12038 BROWNWOOD DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750358860",
"telephone_number": "972-897-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 THROGGS NECK EXPY",
"city": "BRONX",
"state": "NY",
"postal_code": "104651717",
"telephone_number": "800-632-7969"
}
],
"practiceLocations": [
{
"address_1": "12038 Brownwood Dr",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750358860",
"country_code": "US",
"telephone_number": "972-897-8659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUKWE",
"first_name": "CHIKA",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP132048",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPD",
"identifier": "AP132048",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chika.ndukwe@southend.com",
"affiliation": "N",
"address_1": "548 Throggs Neck Expy",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104651717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.