Individual provider Active NPI

Caroline Chioma Ukachukwu, NURSE PRACTITIONER

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, TX
National Provider Identifier
1710224647
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
578560 Issued in TX
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

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613000001 TX Order and Referring Only - Nurse Practitioner 0446540975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
578560TXMDMedicare 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

Verify at the official NPI Registry.