Individual provider Active NPI

Assumpta Adaku Chima, APRN:CNP

  • Family Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1609468677
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028335 Issued in OH
Practice address
7224 Pineview Dr
Englewood, OH 45322-2600
Phone
(937) 301-6369
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028335 OH Primary

Addresses

Primary practice location

7224 Pineview Dr
Englewood, OH 45322-2600

Mailing address

7224 Pineview Dr
Englewood, OH 45322-2600
Phone (937) 301-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220317002087 OH Practitioner - Nurse Practitioner 2961897863 Reassigns benefits to 1 organization

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
Dayton Pain Center LLCGroup PAC ID 8123922887, 10 clinicians

Practice addresses (Care Compare)

1 Elizabeth PL
Dayton, OH 45417-3445
Phone (937) 222-2233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Pain Center LLC CurrentSince Mar 7, 2022 Accepting new patients

Locations

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

Organizations & group practices 1

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1609468677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 PINEVIEW DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222600",
            "telephone_number": "937-301-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 PINEVIEW DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222600",
            "telephone_number": "937-301-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA",
        "first_name": "ASSUMPTA",
        "middle_name": "ADAKU",
        "name_prefix": "Mrs.",
        "credential": "APRN:CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.