Chuks G Eziefula

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R220917 Issued in MD

Practice address

4931 N Capitol St NE Apt 31
Washington, DC 20011-6752

Phone

(240) 473-5218

NPI assigned

Jul 6, 2020

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1679190706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 N CAPITOL ST NE APT 31",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116752",
            "telephone_number": "240-476-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 N CAPITOL ST NE APT 31",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116752",
            "telephone_number": "240-473-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZIEFULA",
        "first_name": "CHUKS",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R220917",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "RN1040687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinyere Ezeogu
• Franca Ezeogu
• Glory Ezeogu
• Obiora Chukwukadibia Ezeogu
• Uchenna Ezeorah Obiano
• Nwamaka F Ezike
• Joy Ezirim
• Ngozi Veronica Ezirim
• Oz Ezkibel, LPC
• Ezzcareservice LLC

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.