Individual provider Active NPI

Chelsea Ndidiamaka Chukwunyere, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Truckee, CA
National Provider Identifier
1609232875
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009645 Issued in CA
Practice address
10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234
Phone
(415) 424-4266
Fax
(415) 520-6633
NPI assigned
Jan 4, 2016
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61133302 WA
Family Nurse Practitioner 363LF0000X 831025 NV
Family Nurse Practitioner 363LF0000X AP129923 TX
Family Nurse Practitioner 363LF0000X 95009645 CA Primary
Family Nurse Practitioner 363LF0000X 202114403NP-PP OR

Addresses

Primary practice location

10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 1

255 N Sierra St Unit 1115
Reno, NV 89501-1368
Phone (415) 424-4266

Other practice location 2

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 3

2719 S El Camino Real
San Clemente, CA 92672-3354
Phone (949) 484-9517

Other names 1

  • Chelsea Ndidiamaka Ozigboh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX, WA, OR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200420001685 CA Practitioner - Nurse Practitioner 5890122345 Reassigns benefits to 2 organizations
I20201027002768 NV Practitioner - Nurse Practitioner 5890122345 Reassigns benefits to 1 organization
I20201102000009 TX Practitioner - Nurse Practitioner 5890122345 Reassigns benefits to 2 organizations
I20220225001512 WA Practitioner - Nurse Practitioner 5890122345 Reassigns benefits to 1 organization
I20241204002449 OR Practitioner - Nurse Practitioner 5890122345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009645CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Pacific Health Care Venture, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 9, 2021 Accepting new patients
Jonathan Larson MD PC CurrentSince Aug 10, 2024 Accepting new patients
Park Hill Health Services PA CurrentSince Aug 11, 2023 Accepting new patients
Central Texas Holistic Care PLLC Family CurrentSince Oct 1, 2024 Accepting new patients
Villagehealth DM LLC CurrentSince May 18, 2025 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Customized Wellness LLC Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 9, 2021 Accepting new patients
Thrivelab Co. CurrentSince Aug 10, 2024 Accepting new patients
The Color Tree Behavioral Center Current Accepting new patients
Telehealth Services USA Past Accepting new patients

Locations

2920 Telegraph Ave
Berkeley, CA 94705
Phone (510) 649-9870

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

3865 Jasmine Ave
Culver City, CA 90232
Phone (310) 839-4381

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

548 Market St
San Francisco, CA 94104
Phone (415) 275-1838

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

701 N Green Valley Pkwy
Ste 213
Henderson, NV 89074

1382 Lomaland Dr
Ste B
El Paso, TX 79935
Phone (720) 631-2400

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

220 6th Ave N
Seattle, WA 98109
Phone (206) 350-7345

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1609232875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ESTERS BLVD STE 900",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632233",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 PIONEER TRL STE 215",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610234",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Sierra St Unit 1115",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895011368",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Esters Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632233",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUNYERE",
        "first_name": "CHELSEA",
        "middle_name": "NDIDIAMAKA",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61133302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009645",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202114403NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "OZIGBOH",
            "middle_name": "NDIDIAMAKA",
            "credential": "MS, APRN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.