Chidi Family Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP60631861 Issued in WA

Legal business name

CHIDI FAMILY CLINIC, PLLC

Practice address

521 N Argonne Rd Ste B101
Spokane Valley, WA 99212-2877

Phone

(509) 844-6550

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Ebere Doris Ugorji, FNP-BC

Title

Arnp

Phone

(509) 844-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chidi Family Clinic Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16384/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1215450697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S FERRALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237132",
            "telephone_number": "509-844-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N ARGONNE RD STE B101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122877",
            "telephone_number": "509-844-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIDI FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "UGORJI",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "509-844-6550",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP60631861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497100598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chidi Family Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Millicent Cherotich, RN
• Deidre Angelique Cherry
• Andrew E Chester, M.D.
• Chet Hymas, DMD, PLLC
• Roxana Chetverikov, RN
• Child, Marriage and Family Counseling, LLC
• Children Family Intervention Respit Services and Therapy
• Children'S Home Society of Washington
• Childrens Chiropractic Center Inc
• Marion T Chirayath, MD

• Primary Care Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.