Nana Ama Maku Oduro, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024185663 Issued in VA

Practice address

1455 Old Bridge Rd Ste 204
Woodbridge, VA 22192-2727

Phone

(703) 870-0738

NPI assigned

Mar 13, 2023

Last updated

Aug 29, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Godaelli Healthcare Services

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1801391982

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Regnal Health LLC

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1922941269
  NPD Authorized official
• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • McLean, VA
  • NPI 1366005183

  DC

  Medicare reassignment
• Total Healing Telehealth Services Inc

  dba Deluxe Mind & Body Medical

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1205409836
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1013618412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 OLD BRIDGE RD STE 204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922727",
            "telephone_number": "703-509-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 OLD BRIDGE RD STE 204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922727",
            "telephone_number": "703-870-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Fall Hill Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013570",
            "country_code": "US",
            "telephone_number": "703-870-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODURO",
        "first_name": "NANA AMA",
        "middle_name": "MAKU",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185663",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obioma Health Care Services
• Obose Behavioral Health & Wellness Clinic LLC (Obose Mental Health Clinic LLC)
• Occoquan Counseling, LLC
• Occoquan Family & Cosmetic Dentistry
• Ehidiamen Eromonsele Odia, LCSW-S
• Blessing Azuka Ojuah
• Uchechukwunna G Ojukwu
• Edward Nana Minta Okatah-Boi, PHARMD
• Jessica Leeann Okugic, MS, LPC
• Old Dominion Transportation Group

• Psychiatric/Mental Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.