Juliana Chioma Nwachukwu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R45102 Issued in ND

Practice address

104 Main St
Turtle Lake, ND 58575-4001

Phone

(701) 448-2054

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bismarck, ND
  • NPI 1841723855
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1710499181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RAILROAD AVENUE,",
            "address_2": "SUITE #16",
            "city": "RAY",
            "state": "ND",
            "postal_code": "58849",
            "telephone_number": "701-448-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "585754001",
            "telephone_number": "701-448-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "JULIANA",
        "middle_name": "CHIOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R45102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renae McClintock, FNP-C
• Janice Elline McIntyre
• Kylie Miller, DDS
• Northland Health Centers
• Northland Health Centers
• Rachelle Samantha Ravnaas
• Karakae Reiser
• Amber Lynn Schneider
• Julaine Smith
• St. Alexius Medical Center (CHI St. Alexius Health Turtle Lake)

• Family Nurse Practitioner in Turtle Lake, ND
• Providers in Turtle Lake, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.