Theresa Chinero Iwundu Sr., NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN1014369 Issued in DC

Practice address

1033 Newton St NE
Washington, DC 20017-1763

Phone

(202) 569-4778

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1417545443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 NEWTON ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171763",
            "telephone_number": "202-569-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 NEWTON ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171763",
            "telephone_number": "202-569-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUNDU",
        "first_name": "THERESA",
        "middle_name": "CHINERO",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "DC",
            "license": "RN1014369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WASHINGTON",
            "affiliation": "N",
            "endpointDescription": "patient care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1033 Newton St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200171763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.