Individual provider Active NPI

Goodluck Ikechukwu Nshi

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1407790447
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2026011549 Issued in MO
Practice address
1883 Lazy Ridge CT
Chesterfield, MO 63017-5215
Phone
(314) 437-1239
Fax
(314) 437-1239
NPI assigned
Apr 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2026011549 MO Primary

Addresses

Primary practice location

1883 Lazy Ridge CT
Chesterfield, MO 63017-5215

Mailing address

1883 Lazy Ridge CT
Chesterfield, MO 63017-5215
Phone (314) 437-1239

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

State licenses

LicenseStateTypeSpecialty
2026011549MOMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1407790447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 LAZY RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175215",
            "telephone_number": "314-437-1239",
            "fax_number": "314-437-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 LAZY RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175215",
            "telephone_number": "314-437-1239",
            "fax_number": "314-437-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSHI",
        "first_name": "GOODLUCK",
        "middle_name": "IKECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2026011549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.