Chinwe Linda Osudoh, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

COA.17777-NP Issued in OH

Practice address

9000 N Main St
Suite 403
Englewood, OH 45415-1179

Phone

(937) 836-5171

NPI assigned

Dec 14, 2009

Reactivated

Nov 20, 2015

Last updated

Dec 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1619206190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 403",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151179",
            "telephone_number": "937-836-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 403",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151179",
            "telephone_number": "937-836-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUDOH",
        "first_name": "CHINWE",
        "middle_name": "LINDA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2015-12-02",
        "deactivation_date": "2010-07-27",
        "reactivation_date": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA.17777-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "R.N. 353696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Englewood, OH
• Providers in Englewood, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.