Ndidiamaka Monique Udeh, N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005826 Issued in CA

Practice address

43839 N 15TH St West
High Desert Medical Corp.
Lancaster, CA 93534-4659

Phone

(661) 945-5984

Fax

(661) 951-3192

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1194269993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 IRON CANYON LANE",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92394",
            "telephone_number": "310-259-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 N 15TH ST WEST",
            "address_2": "HIGH DESERT MEDICAL CORP.",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344659",
            "telephone_number": "661-945-5984",
            "fax_number": "661-951-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEH",
        "first_name": "NDIDIAMAKA",
        "middle_name": "MONIQUE",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacresha Ache Tyler
• Kathleen Diane Tyndall, P.A.
• Denisha Tynes
• Maple Jean Tyson, LCSW
• Lacee Lynn Udager
• Chijioke Ugochukwu
• Unalienable Rights Inc.
• Unified Health Associates
• United Alliance Hospice Care, Inc.
• United Behavioral Center, Inc

• Family Nurse Practitioner in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.