Theresa Amaka Uzoukwu, CRNP-PMP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R212243 Issued in MD

Practice address

3404 Spectacular Bid CT
Bowie, MD 20721-1284

Phone

(240) 505-5021

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

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

Other names 1

• Theresa Amaka Uzoukwu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• D & a Holdings Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowie, MD
  • NPI 1477295061

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1437827862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 SPECTACULAR BID CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211284",
            "telephone_number": "240-505-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 SPECTACULAR BID CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211284",
            "telephone_number": "240-505-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOUKWU",
        "first_name": "THERESA",
        "middle_name": "AMAKA",
        "name_prefix": "Mrs.",
        "credential": "CRNP-PMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "UZOUKWU",
            "middle_name": "AMAKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Utopia Health Services (Psychiatric Rehabilitation Program)
• Utopia Health Services Group Inc.
• Sarah Uwaifo
• Chidera Hanna Uzoma
• Mary Uzoukwu
• Milook Uzri
• V&T Health Service
• Jeel Vaddoriya
• Emma H Vaillant, BCBA
• Letha Valiaveedu, LPC

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.