Individual provider Active NPI

Chukwudi U Onuoha, RN

  • Registered Nurse
  • Detroit, MI
National Provider Identifier
1629443742
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704346654 Issued in MI
Practice address
18300 Lahser Rd
Apt B206
Detroit, MI 48219-4324
Phone
(313) 850-2753
NPI assigned
Dec 1, 2015
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704346654 MI Primary
Licensed Practical Nurse 164W00000X 4703115678 MI

Addresses

Primary practice location

18300 Lahser Rd
Apt B206
Detroit, MI 48219-4324

Mailing address

23935 Outer Dr Apt D20
Melvindale, MI 48122-1667
Phone (313) 850-2753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704346654MIMDRegistered Nurse
4703115678MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1629443742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23935 OUTER DR APT D20",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221667",
            "telephone_number": "313-850-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 LAHSER RD",
            "address_2": "APT B206",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194324",
            "telephone_number": "313-850-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUOHA",
        "first_name": "CHUKWUDI",
        "middle_name": "U",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704346654",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703115678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.