Chioma Hannah Chime

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

300797 Issued in AZ

Practice address

15462 W Dreyfus St
Surprise, AZ 85379-8132

Phone

(623) 299-0155

NPI assigned

Dec 12, 2023

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

Enrolled in AZ, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chioma.chime@240587814797316.direct.elationemr.com

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

• Soundmind Health & Wellness Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1659257442
  Medicare reassignment NPD Authorized official
• Boulder Care Provider Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  OH

  Medicare reassignment
• Community Medical Services Arizona-Private, LLC

  • Methadone Clinic
  • Glendale, AZ
  • NPI 1053474148
  NPD (past)
• Community Medical Services Arizona-Private, LLC

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1184459570
  NPD (past)
• Community Medical Services Arizona-Private, LLC

  • Methadone Clinic
  • Phoenix, AZ
  • NPI 1942892856
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1801664610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15462 W DREYFUS ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798132",
            "telephone_number": "623-299-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15462 W DREYFUS ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798132",
            "telephone_number": "623-299-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIME",
        "first_name": "CHIOMA",
        "middle_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "300797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Chavez, SLPA
• Diondrea Alexis Chee
• Puneet Kaur Cheema, OD
• Julia Grace Chera
• Austin Childs, MSN
• Choose to Change
• Raushni Chopra, LPC
• Chosen Behavioral Home, LLC
• Chrisol Care Home
• Janae Christensen

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.