Individual provider Active NPI

Echika Chukwukere, NP

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1841652773
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015017924 Issued in GA
Practice address
4395 Ogeechee Rd
209
Savannah, GA 31405-1249
Phone
(912) 208-0726
Fax
(912) 228-3046
NPI assigned
Mar 21, 2016
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015017924 GA Primary

Addresses

Primary practice location

4395 Ogeechee Rd
209
Savannah, GA 31405-1249

Mailing address

4395 Ogeechee Rd
209
Savannah, GA 31405-1249
Phone (912) 208-0726

Other identifiers 1

IdentifierTypeStateIssuer
2015017924OtherGANURSE PRACTITIONER

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015017924GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1841652773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 OGEECHEE RD",
            "address_2": "209",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051249",
            "telephone_number": "912-208-0726",
            "fax_number": "912-228-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 OGEECHEE RD",
            "address_2": "209",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051249",
            "telephone_number": "912-208-0726",
            "fax_number": "912-228-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUKERE",
        "first_name": "ECHIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2015017924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "2015017924",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.