Chidinma Nwadike, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN177108 Issued in GA

Practice address

3832 Mabry Ridge Dr
Buford, GA 30518-1683

Phone

(678) 643-4371

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chidinma Ibegbulam Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1720509870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 MABRY RIDGE DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181683",
            "telephone_number": "678-643-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 MABRY RIDGE DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181683",
            "telephone_number": "678-643-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADIKE",
        "first_name": "CHIDINMA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN177108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN, FNP-C",
            "identifier": "F05170106",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN, FNP-C BY AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F05170106",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIDINMA",
            "last_name": "IBEGBULAM",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• John M Nunez, D.C.
• Steven K Nutty, D.C.
• Chinenye Nwokocha, NP-C
• Rebekah A O'Connor, M.S., CCC, SLP
• Abigail Roseann O'Reggio, MD
• Merical Oakes, OTA
• Obtain the Promise Services & Consulting LLC (Obtain the Promise)

• Family Nurse Practitioner in Buford, GA
• Providers in Buford, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.