Active NPI
Chiatuogu Ukaga
- Family Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 143046-2
- Practice address
- 1239 Payne Ave
Suite 200
Saint Paul, MN 55130-3538 - Phone
- (651) 209-8350
- Fax
- (651) 209-8353
- NPI assigned
- May 21, 2007
- Last updated
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 143046-2 | MN | Primary |
Addresses
Primary practice location
1239 Payne Ave
Suite 200
Saint Paul, MN 55130-3538
Mailing address
8814 Pheasant Run Rd
Woodbury, MN 55125-8887
Phone (651) 702-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 143046-2 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| St. Paul Family Medical Center PA | Past | Accepting new patients |
Locations
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
451 Dunlap St N
Saint Paul, MN 55104
Phone (651) 647-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/12803/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Riverside Dental Clinic
- Pediatric Dentistry
- Minneapolis, MN
- NPI 1700932449
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Clinic/Center
- Saint Paul, MN
- NPI 1346302981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1720296635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8814 PHEASANT RUN RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551258887",
"telephone_number": "651-702-5631",
"fax_number": "651-731-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 PAYNE AVE",
"address_2": "SUITE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303538",
"telephone_number": "651-209-8350",
"fax_number": "651-209-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKAGA",
"first_name": "CHIATUOGU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 143046-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.