Individual provider Active NPI

Sherry Valesia Chukwudi, RN

  • Maternal Newborn Registered Nurse
  • Fort Irwin, CA
National Provider Identifier
1336197383
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
R29558 Issued in ND
Practice address
4090 Denning Spring Dr
Apt a
Fort Irwin, CA 92310-2015
Phone
(760) 386-4959
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X R29558 ND Primary

Addresses

Primary practice location

4090 Denning Spring Dr
Apt a
Fort Irwin, CA 92310-2015

Mailing address

4090 Denning Spring Dr
Fort Irwin, CA 92310-2015
Phone (760) 386-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R29558NDMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336197383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 DENNING SPRING DR",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102015",
            "telephone_number": "760-386-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 DENNING SPRING DR",
            "address_2": "APT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102015",
            "telephone_number": "760-386-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUDI",
        "first_name": "SHERRY",
        "middle_name": "VALESIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "ND",
            "license": "R29558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.