Individual provider Active NPI

Ifeanyi Emmanuel Chukwuka

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1275993321
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9386456 Issued in FL
Practice address
1100 NW 95TH St
Miami, FL 33150-2038
Phone
(305) 835-6000
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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 ARNP9386456 FL Primary

Addresses

Primary practice location

1100 NW 95TH St
Miami, FL 33150-2038

Mailing address

1100 NW 95TH St
Miami, FL 33150-2038
Phone (305) 835-6000

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

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1275993321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502038",
            "telephone_number": "305-835-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502038",
            "telephone_number": "305-835-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUKA",
        "first_name": "IFEANYI",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9386456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.