Individual provider Active NPI

Peace Chioma Chukwuma, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Truth Or Consequences, NM
National Provider Identifier
1508581174
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
69960 Issued in NM
Practice address
800 E 9TH Ave
Truth Or Consequences, NM 87901-1961
Phone
(575) 894-3221
Fax
(575) 894-4999
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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 1070663 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 69960 NM Primary

Addresses

Primary practice location

800 E 9TH Ave
Truth Or Consequences, NM 87901-1961

Mailing address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1961
Phone (575) 894-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221130003133 NM Practitioner - Nurse Practitioner 0446446801 Reassigns benefits to 4 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
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69960NMMDPsychiatric/Mental Health Nurse Practitioner
1070663TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Quality Home Health Services Inc CurrentSince Aug 19, 2010 Accepting new patients
Sierra Vista Hospital CurrentSince Nov 18, 2022 Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1508581174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011961",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011961",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "PEACE",
        "middle_name": "CHIOMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1070663",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "69960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.