Active NPI
Chinwe Obi-Walker, APRN
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1912382490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8242
- Practice address
- 425 20TH Ave S
Minneapolis, MN 55454-4400 - Phone
- (612) 332-4973
- NPI assigned
- Jul 24, 2015
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8242 | MN | Primary |
| Administrator Registered Nurse | 163WA2000X | R 210932-3 | MN | |
| Home Health Registered Nurse | 163WH0200X | R 210932-3 | MN |
Addresses
Primary practice location
425 20TH Ave S
Minneapolis, MN 55454-4400
Mailing address
856 University Ave W
Saint Paul, MN 55104-4807
Other practice location 1
856 University Ave W
Saint Paul, MN 55104-4807
Phone (651) 665-9795
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 210932-3 | MN | MD | Administrator Registered Nurse |
| 8242 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Healthcare Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Divine Healthcare Network
- Home Health Agency
- Saint Paul, MN
- NPI 1326150343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1912382490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 20TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554544400",
"telephone_number": "612-332-4973"
}
],
"practiceLocations": [
{
"address_1": "856 University Ave W",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551044807",
"country_code": "US",
"telephone_number": "651-665-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBI-WALKER",
"first_name": "CHINWE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "8242",
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MN",
"license": "R 210932-3",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R 210932-3",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.