Stella Nkolika Udechukwu, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11010100 Issued in FL

Practice address

9333 SW 152ND St
Palmetto Bay, FL 33157-1778

Phone

(305) 256-5072

NPI assigned

Nov 11, 2020

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1194327585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 SW 159TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966155",
            "telephone_number": "305-401-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-256-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDECHUKWU",
        "first_name": "STELLA",
        "middle_name": "NKOLIKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11010100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Esther Trujillo, NURSE PRACTITIONER
• Truvida Medical Group LLC
• Steven G Tucker, MD
• Tusalud Medical Supplies Inc.
• Mayte Mercedes Ubieta, APRN
• Ultramed LLC
• Universal Health Provider, Corp.
• Upright Spine Center LLC
• Rebeca Urbina, APRN
• Urgent Care Physicians of Palmetto Bay LLC

• Primary Care Nurse Practitioner in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.