Active NPI
Esther Oluchukwu Chukwu
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC005590
- Practice address
- 611 Church St N
Concord, NC 28025-4322 - Phone
- (704) 963-9270
- Fax
- (704) 963-9038
- NPI assigned
- Jul 21, 2023
- Last updated
- Nov 7, 2023
- 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 | AC005590 | MD | Primary |
Addresses
Primary practice location
611 Church St N
Concord, NC 28025-4322
Mailing address
611 Church St N
Concord, NC 28025-4322
Phone (704) 963-9270
Other practice location 1
730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244
Phone (404) 491-1941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1216 School St
Suite B
Wilkesboro, NC 28697-2634
Phone (336) 667-1140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC005590 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Psychiatric and Medical Services PA | Current | Accepting new patients |
Locations
611 Church St N
Concord, NC 28025
Phone (704) 785-8711
117 Fuchia Ln
Lincolnton, NC 28092
Phone (704) 520-3620
310 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 637-1888
1216 School St
Ste B
Wilkesboro, NC 28697
Phone (336) 667-1140
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.
-
- Specialist
- Salisbury, NC
- NPI 1457667800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1356021679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254322",
"telephone_number": "704-963-9270",
"fax_number": "704-963-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CHURCH ST N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254322",
"telephone_number": "704-963-9270",
"fax_number": "704-963-9038"
}
],
"practiceLocations": [
{
"address_1": "730 Peachtree St NE Ste 570",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303081244",
"country_code": "US",
"telephone_number": "404-491-1941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUKWU",
"first_name": "ESTHER",
"middle_name": "OLUCHUKWU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC005590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.