Individual provider Active NPI

Joyce Chinedum Chukwu, ARNP, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1356879852
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
291188 Issued in AZ
Practice address
4851 S Apopka Vineland Rd
Orlando, FL 32819-3128
Phone
(407) 876-6699
NPI assigned
May 27, 2017
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 291188 AZ Primary
Primary Care Nurse Practitioner 363LP2300X ARNP2745662 FL

Addresses

Primary practice location

4851 S Apopka Vineland Rd
Orlando, FL 32819-3128

Mailing address

2620 Tamera CT
Apopka, FL 32712-4045
Phone (407) 889-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180315000673 TX Practitioner - Nurse Practitioner 9133481989 Reassigns benefits to 5 organizations
I20230808000642 AZ Practitioner - Nurse Practitioner 9133481989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians

Practice addresses (Care Compare)

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP2745662FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Multi-Specialty Current Accepting new patients
Pine Ridge Indian Health Service Hospital Multi-Specialty CurrentSince Jul 6, 2021 Accepting new patients
Rosebud Indian Health Service Multi-Specialty CurrentSince Apr 6, 2025 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Sep 25, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital Multi-Specialty CurrentSince Jul 6, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital Multi-Specialty Current Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 6, 2025 Accepting new patients
JC Family Healthcare & Wellness Center, LLC Multi-Specialty CurrentSince Feb 14, 2021 Accepting new patients
Pulse Healthcare Solutions PLLC Multi-Specialty CurrentSince Jun 26, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital Multi-Specialty CurrentSince Jul 6, 2021 Accepting new patients
Winnebago Indian Health Service PastSince Feb 3, 2018 Accepting new patients

Locations

501 W Ray Rd
Ste 4
Chandler, AZ 85225
Phone (480) 462-5686

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24643/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1356879852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 TAMERA CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124045",
            "telephone_number": "407-889-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193128",
            "telephone_number": "407-876-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "JOYCE",
        "middle_name": "CHINEDUM",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-27",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "291188",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP2745662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.