Shalom Chekwubechukwu Udeh

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN10005515 Issued in MA

Practice address

680 Centre St
Brockton, MA 02302-3308

Phone

(508) 941-7000

NPI assigned

Aug 8, 2025

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

Other names 1

• Shalom C Udeh Other 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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1851276802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WASHINGTON ST APT 239",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021883449",
            "telephone_number": "774-434-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEH",
        "first_name": "SHALOM",
        "middle_name": "CHEKWUBECHUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN10005515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALOM",
            "last_name": "UDEH",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Branden M Turner, LMHC
• Kimberly Anne Tzovolos, EDUCATOR
• U S Lab & Radiology LLC
• U S Lab & Radiology LLC.
• Ubhs - Unlimited Behavioral Health Services Inc
• Ifeoma Laurietta Ugbo, FNP
• Uhun Ro Lee M.D P.C
• Christiana Ujialele, NP
• Jennifer Lynn Ulicny, CRNA
• Ultimate Health Center LLC

• All providers in Brockton, MA
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.