Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelechi Uche Uduma

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1487480752

Kelechi Uche Uduma is a Nurse Practitioner in Edwardsville, Illinois. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
1
Licensed in
IL, MO
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1 Hairpin Dr
Edwardsville, IL 62026-0001
Phone: (314) 745-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025034856 (MO)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 2019030421 (MO)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 041561779 (IL)

Record details

NPI number1487480752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address168 Behlmann Meadows Way, Florissant, MO 63034-2863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edwardsville