Individual provider Active NPI

Chiaka Awuzie

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1265289508
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032534 Issued in FL
Practice address
11608 Boyette Rd
Riverview, FL 33569-5681
Phone
(813) 374-5638
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032534 FL Primary

Addresses

Primary practice location

11608 Boyette Rd
Riverview, FL 33569-5681

Mailing address

1506 Rushgrove Cir
Dover, FL 33527-4957
Phone (904) 994-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032534FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Jul 27, 2024 Accepting new patients
Unique Management Group PastSince Jul 27, 2024 Accepting new patients

Locations

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

11608 Boyette Rd
Riverview, FL 33569
Phone (813) 374-5638

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1265289508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 RUSHGROVE CIR",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274957",
            "telephone_number": "904-994-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695681",
            "telephone_number": "813-374-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUZIE",
        "first_name": "CHIAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.