Individual provider Active NPI

Damaris Chukwura

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1992100903
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP126692 Issued in TX
Practice address
8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805
Phone
(833) 351-8255
Fax
(888) 815-3583
NPI assigned
Nov 3, 2014
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 7325 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2480881 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP126692 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14231263-4405 UT
Registered Nurse 163W00000X 752143 TX

Addresses

Primary practice location

8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805

Mailing address

109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 1

400 Union Avenue SE, Suite 200 (Private Office 223)
Olympia, WA 98501
Phone (833) 351-8255

Other practice location 2

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 3

3223 S Loop 289, Suite 600 (Private Office 630)
Lubbock, TX 79423
Phone (833) 351-8255

Other practice location 4

10 W Broadway Fl 7
Salt Lake City, UT 84101-2060
Phone (833) 351-8255

Other names 1

  • Damaris Nwobu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150311002033 TX Practitioner - Nurse Practitioner 8426374364 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

3223 S Loop
289 Suite 600
Lubbock, TX 79423-1372
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
752143TXMDRegistered Nurse
2480881MNMDPsychiatric/Mental Health Nurse Practitioner
AP126692TXMDPsychiatric/Mental Health Nurse Practitioner
14231263-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Health Texas PLLC CurrentSince Feb 17, 2025 Accepting new patients
Burke Center CurrentSince Oct 30, 2017 Accepting new patients
Helen Farabee Centers CurrentSince Nov 1, 2017 Accepting new patients
Kotel Atx PLLC CurrentSince Sep 1, 2021 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Sep 20, 2025 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Feb 1, 2021 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Oct 1, 2017 Accepting new patients
Family and Child Guidance Centers CurrentSince Jun 20, 2016 Accepting new patients
Family and Child Guidance Centers CurrentSince Jun 20, 2016 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Oct 1, 2017 Accepting new patients
Access Telecare, PLLC Past Accepting new patients

Locations

8500 Normandale Lake Blvd
Ste 350
Minneapolis, MN 55437
Phone (612) 314-8904

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

5344 Alpha Rd
Dallas, TX 75240
Phone (214) 984-3496

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

8915 Harry Hines Blvd
Dallas, TX 75235
Phone (972) 548-9484

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (512) 839-7478

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

6110 W Parker Rd
Plano, TX 75093
Phone (214) 369-5522

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

10 W Broadway
Fl 7
Salt Lake City, UT 84101
Phone (801) 228-7825

400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508

Interoperability endpoints

  • Direct secure messaging: damaris.chukwura.1@16520.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1992100903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373805",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Union Avenue SE, Suite 200 (Private Office 223)",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98501",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 S Loop 289, Suite 600 (Private Office 630)",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79423",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Broadway Fl 7",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012060",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWURA",
        "first_name": "DAMARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "7325",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2480881",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126692",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "14231263-4405",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "752143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMARIS",
            "last_name": "NWOBU",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.