Active NPI
Chidiogo Carole Nwokike
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN002910
- Practice address
- 500 N Rainbow Blvd
Las Vegas, NV 89107-1082 - Phone
- (702) 514-4057
- Fax
- (888) 984-4620
- NPI assigned
- May 11, 2018
- Last updated
- Feb 13, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95014548 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN002910 | NV | Primary |
Addresses
Primary practice location
500 N Rainbow Blvd
Las Vegas, NV 89107-1082
Mailing address
10141 Rockridge Peak Ave
Las Vegas, NV 89166-5200
Other practice location 1
1340 Tully Rd Ste 301&304
San Jose, CA 95122
Phone (800) 704-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
626 N Rainbow Blvd
Las Vegas, NV 89107-1101
Phone (702) 778-7782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014548 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceeding Healthcare Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Healthright 360 | Current | Accepting new patients | |
| Behavioral Health Solutions LLC | Current | Accepting new patients | |
| Healthright 360 | Current | Accepting new patients | |
| Healthright 360 | Current | Accepting new patients | |
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients | |
| Paramount Healthcare Services Corp | Psychiatric/Mental Health | Current | Accepting new patients |
| Peace of Mind Home Health Agency LLC | Past | Accepting new patients | |
| Maria K Nwokikemd Face PC | Past | Accepting new patients |
Locations
1340 Tully Rd
Ste 301
San Jose, CA 95122
Phone (408) 505-5575
2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061
500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148
626 N Rainbow Blvd
Las Vegas, NV 89107
Phone (702) 778-7782
Interoperability endpoints
- chidiogo.nwokike.1@24259.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Peace of Mind Home Health Agency LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Director (50%) W-2 Managing Employee (100%) |
Aug 6, 2018 Aug 6, 2018 Aug 6, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1134683543
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1952931271
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1083163182
-
dba Haight Ashbury Free Clinic
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1760427843
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1255409314
-
- Community Health Clinic/Center
- San Mateo, CA
- NPI 1558756536
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1932703626
-
dba Endocrinology and Diabetes Specialists
- Endocrinology, Diabetes & Metabolism Physician
- Las Vegas, NV
- NPI 1275778599
-
- Home Health Agency
- Las Vegas, NV
- NPI 1134683543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1184114522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10141 ROCKRIDGE PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891665200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071082",
"telephone_number": "702-514-4057",
"fax_number": "888-984-4620"
}
],
"practiceLocations": [
{
"address_1": "1340 Tully Rd Ste 301&304",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95122",
"country_code": "US",
"telephone_number": "800-704-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWOKIKE",
"first_name": "CHIDIOGO",
"middle_name": "CAROLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2023-02-13",
"certification_date": "2023-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95014548",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APRN002910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.