Emeka Ikenna Chidebe

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2315292 Issued in MA

Practice address

180 Walnut Rd
Wrentham, MA 02093-1040

Phone

(774) 360-6725

NPI assigned

Nov 28, 2024

Last updated

Nov 28, 2024By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1750107322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WALNUT RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931040",
            "telephone_number": "774-360-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WALNUT RD",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931040",
            "telephone_number": "774-360-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDEBE",
        "first_name": "EMEKA",
        "middle_name": "IKENNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2315292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellsie Marie Capece Alger
• Julia Lopes Cardoso, MS,BCBA,LABA
• Meghan Castaneda
• Jessica Champagne
• Kayla Chan, DPT
• Child Builders ABA LLC
• Halley Jakes Choiniere
• Joseph Francis Coffin, P.T.
• Commonwealth of Massachusets (Wrentham Developmental Center)
• Compass Social Skills and Counseling, LLC

• Registered Nurse in Wrentham, MA
• Providers in Wrentham, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.