Individual provider Active NPI

Chika Ndukwe, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1164972584
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403710 Issued in NY
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

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP132048OtherTXNPD

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AP132048TXMDFamily Nurse Practitioner
403710NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Dallas, P.a. Past Accepting new patients
Shine Pediatrics and Wellness Center P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.