Chinedu Izuchi, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CP002934 Issued in SD

Practice address

132 N Dakota Ave
Sioux Falls, SD 57104-6419

Phone

(605) 275-1000

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By 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

Enrolled in SD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba The Link

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1205428331
  NPD
• Avera McKennan

  dba Avera Medical Group Behavioral Health Clinic

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1760933261
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1891571345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89955",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571096955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N DAKOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046419",
            "telephone_number": "605-275-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZUCHI",
        "first_name": "CHINEDU",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Eileen Iversen, PA-C
• Bradley Eugene Iverson, M.D.
• Brian Dale Iverson, MS, PT
• Iwe Inc. (A Spectrum of Care)
• Stasia Ellen Iwuc, CPO
• Rose Izuchi, M.D., MPH
• J Brockhoff Therapy Services LLC
• Bassel Jabbour, M.D
• Wallace J Jackmon, PHD
• Cassandra Ray Jackson, MD

• Psychiatric/Mental Health Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.