Active NPI
Caroline Chioma Ukachukwu, NURSE PRACTITIONER
- Medicare Defined Swing Bed Hospital Unit
- Houston, TX
National Provider Identifier
1710224647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 578560
- Practice address
- 6565 Fannin St. MGJ. Suit 11
The Methodist Hospital, Mary Gibbs
Houston, TX 77030 - Phone
- (713) 441-1032
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 578560 | TX | Primary |
Addresses
Primary practice location
6565 Fannin St. MGJ. Suit 11
The Methodist Hospital, Mary Gibbs
Houston, TX 77030
Mailing address
6565 Fannin St. MGJ. Suit 11,
The Methodist Hospital Mary Gibbs
Houston, TX 77030
Phone (713) 441-1032
Other names 1
- Mrs. Caroline Chioma Ukachukwu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160613000001 | TX | Order and Referring Only - Nurse Practitioner | 0446540975 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578560 | TX | MD | Medicare Defined Swing Bed Hospital Unit |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1710224647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 FANNIN ST. MGJ. SUIT 11,",
"address_2": "THE METHODIST HOSPITAL MARY GIBBS",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST. MGJ. SUIT 11",
"address_2": "THE METHODIST HOSPITAL, MARY GIBBS",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-441-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKACHUKWU",
"first_name": "CAROLINE",
"middle_name": "CHIOMA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "TX",
"license": "578560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "UKACHUKWU",
"middle_name": "CHIOMA",
"prefix": "MRS.",
"credential": "RN, MSN,ACNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.