Active NPI
Juliet Ujunwa Chinweze, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1346188695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71017834A
- Practice address
- 4102 Shore Dr
Indianapolis, IN 46254-2608 - Phone
- (317) 280-2718
- Fax
- (513) 605-5884
- NPI assigned
- Mar 24, 2026
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71017834A | IN | Primary |
Addresses
Primary practice location
4102 Shore Dr
Indianapolis, IN 46254-2608
Mailing address
4102 Shore Dr
Indianapolis, IN 46254-2608
Phone (317) 280-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4102 Shore Dr
Indianapolis, IN 46254-2608
Phone (317) 347-9051
5226 E 82ND St
Indianapolis, IN 46250-1628
Phone (513) 489-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017834A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1346188695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 SHORE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542608",
"telephone_number": "317-280-2718",
"fax_number": "513-605-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 SHORE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542608",
"telephone_number": "317-280-2718",
"fax_number": "513-605-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINWEZE",
"first_name": "JULIET",
"middle_name": "UJUNWA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71017834A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Wendell Claudius Chinn Sr., MSW
- Dheeraj Chinnam, MBBS, MD
- Viswanath Reddy Chinta, MD
- Kalyan Kumar Chintapalli, PT
- Jayender Reddy Chintaparthi, MD
- Chiro 1St PC of Indiana
- Chiro 1St PC of Indiana
- Chiro One Wellness Center of Broad Ripple, LLC
- Chiro One Wellness Center of Geist LLC
- Chiro One Wellness Center of Indianapolis North LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.