Organization Active NPI

Kingdom First Care

  • Adult Health Nurse Practitioner
  • Essex, MD
National Provider Identifier
1700686946
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
KINGDOM FIRST CARE
Practice address
36 Driftwood CT
Essex, MD 21221-3034
Phone
(443) 326-7912
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Chibugo Chukwu, CRNPNPI 1790591360
Title
Owner
Phone
(443) 326-7912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

36 Driftwood CT
Essex, MD 21221-3034

Mailing address

36 Driftwood CT
Essex, MD 21221-3034
Phone (443) 326-7912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408003245 MD Part B Supplier - Clinic/Group Practice 2062987993 Receives reassigned benefits from 1 practitioner
Practice locations: Essex, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1700686946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DRIFTWOOD CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213034",
            "telephone_number": "443-326-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 DRIFTWOOD CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213034",
            "telephone_number": "443-326-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM FIRST CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "CHUKWU",
        "authorized_official_first_name": "CHIBUGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-326-7912",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.