Betty C Chukwuma, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9296627 Issued in FL

Practice address

13505 US Highway 1
Sebastian, FL 32958

Phone

(772) 257-8224

Fax

(772) 213-3157

NPI assigned

Feb 22, 2016

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Accountable Care Post Acute Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Palm Springs, FL
  • NPI 1598209769
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment NPD
• New Horizons of the Treasure Coast Inc

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1154439958
  Medicare reassignment NPD
• Ignite Health and Wellness LLC

  • Health Service Clinic/Center
  • Wellington, FL
  • NPI 1689459000
  NPD Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1285093062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 315-12",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146134",
            "telephone_number": "561-414-3321",
            "fax_number": "561-489-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4675 28th Ct",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329671329",
            "country_code": "US",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6953 Willow Creek Run",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334637420",
            "country_code": "US",
            "telephone_number": "561-309-9374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6953 Willow Creek Run",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334637420",
            "country_code": "US",
            "telephone_number": "561-309-9374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "BETTY",
        "middle_name": "C",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9296627",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9296627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN9296627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chavez Jo Internal Medicine P.a.
• Edgard Chavez, M.D.
• Katiusca Chavez, M.D.
• Catherine Anne Cheries, PA
• David L. Christensen, CRNA
• Clark Chiropractic and Wellness PLLC
• Joshua Clark, D.C
• Clelland Counseling & Consulting Services, P.a.
• Gayle L. Clelland, LCSW
• Coastal Cardiovascular Associates PA

• Psychiatric/Mental Health Nurse Practitioner in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.