Lillian Chime Ndu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309786-31 Issued in WI

Practice address

4121 W Rivers Edge Cir
Apt # 116
Brown Deer, WI 53209-1131

Phone

(414) 393-8540

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

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

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1932444130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W RIVERS EDGE CIR",
            "address_2": "APT # 116",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091131",
            "telephone_number": "414-393-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W RIVERS EDGE CIR",
            "address_2": "APT # 116",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091131",
            "telephone_number": "414-393-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDU",
        "first_name": "LILLIAN",
        "middle_name": "CHIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309786-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Sarah Muderlak, M.D.
• Roy W Mutsch, D.C.
• Shalonda Nicole Myles, FNP
• Mynp Professionals, LLC
• Muhammad Nadeem, DMD
• Kristin Nelson, LPC-IT
• Renelle E. Nelson, MFT
• Tori Lynn Nelson
• Nerion Care Network
• Nerion Health Group

• Licensed Practical Nurse in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.