Individual provider Active NPI

Ijeoma Chidumaga Uwandu

  • Registered Nurse
  • Durham, NC
National Provider Identifier
1174847511
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
371946 Issued in NC
Practice address
311 S Lasalle St Apt 15D
Durham, NC 27705-3630
Phone
(617) 412-7688
NPI assigned
Mar 14, 2010
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 371946 NC Primary

Addresses

Primary practice location

311 S Lasalle St Apt 15D
Durham, NC 27705-3630

Mailing address

311 S Lasalle St Apt 15D
Durham, NC 27705-3630
Phone (617) 412-7688

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
371946NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1174847511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S LASALLE ST APT 15D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053630",
            "telephone_number": "617-412-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S LASALLE ST APT 15D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053630",
            "telephone_number": "617-412-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWANDU",
        "first_name": "IJEOMA",
        "middle_name": "CHIDUMAGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "371946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.