Individual provider Active NPI

Chioma Mercy Ndubuaku

  • Nurse's Aide
  • Indianapolis, IN
National Provider Identifier
1700906732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
48-03-04-00305 Issued in IN
Practice address
7175 Rue de Margot Dr
Indianapolis, IN 46260-3717
Phone
(317) 295-8574
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 48-03-04-00305 IN Primary

Addresses

Primary practice location

7175 Rue de Margot Dr
Indianapolis, IN 46260-3717

Mailing address

7175 Rue de Margot Dr
Indianapolis, IN 46260-3717
Phone (317) 295-8574

Other identifiers 1

IdentifierTypeStateIssuer
48-03-04-00305OtherINHHA REGISTRATION

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

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700906732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 RUE DE MARGOT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462603717",
            "telephone_number": "317-295-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 RUE DE MARGOT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462603717",
            "telephone_number": "317-295-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBUAKU",
        "first_name": "CHIOMA",
        "middle_name": "MERCY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "48-03-04-00305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA REGISTRATION",
            "identifier": "48-03-04-00305",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.