Adaeze Chidinma Ude

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

544334 Issued in CA

Practice address

606 E Mill St
San Bernardino, CA 92415-3436

Phone

(909) 383-3054

Fax

(909) 383-3023

NPI assigned

Jan 4, 2018

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Bernardino County

  • Public Health or Welfare Agency
  • San Bernardino, CA
  • NPI 1578535845
  NPD (past)
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1982756714
  NPD (past)

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1629585294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150620",
            "telephone_number": "909-383-3054",
            "fax_number": "909-383-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924153436",
            "telephone_number": "909-383-3054",
            "fax_number": "909-383-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDE",
        "first_name": "ADAEZE",
        "middle_name": "CHIDINMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "712018",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "544334",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "544334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayann Tyce
• Maretha Tyce, NP
• U.S. Healthworks Medical Group, PC
• Ubuntu Health Advocates a Nursing Corporation
• Ucan Feel Better Nonprofit Corporation
• Chukwuma John Udeh, MD
• Patrice Annie Udo, OTD
• Ahsley Ugarte Urquiza
• Marlee Amber Uggen
• Ifeanyi Ugochuku, M.D.

• Community Health Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.