Provider Demographics
NPI:1366333874
Name:CARTER, CHUKIA RENEE
Entity type:Individual
Prefix:
First Name:CHUKIA
Middle Name:RENEE
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 NOVA AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-4062
Mailing Address - Country:US
Mailing Address - Phone:202-718-6632
Mailing Address - Fax:
Practice Address - Street 1:1900 C ST SE APT 229
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-5174
Practice Address - Country:US
Practice Address - Phone:202-718-6632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant