Active NPI
Isabelle Chineze Chukwura, CRNP- ADULT
- Gerontology Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1720557655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R201582
- Practice address
- 300 E Madison St
Baltimore, MD 21202-4260 - Phone
- (410) 545-8146
- NPI assigned
- Nov 20, 2018
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R201582 | MD | Primary |
Addresses
Primary practice location
300 E Madison St
Baltimore, MD 21202-4260
Mailing address
225 Commodore Dr
Essex, MD 21221-5978
Phone (443) 509-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R201582 | MD | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1720557655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 COMMODORE DR",
"city": "ESSEX",
"state": "MD",
"postal_code": "212215978",
"telephone_number": "443-509-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MADISON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024260",
"telephone_number": "410-545-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWURA",
"first_name": "ISABELLE",
"middle_name": "CHINEZE",
"credential": "CRNP- ADULT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R201582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.