Olubola Tomilola Adesuyi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

24192768 Issued in VA

Practice address

8609 Westwood Center Dr Ste 110
Vienna, VA 22182-7525

Phone

(703) 722-4828

NPI assigned

Mar 4, 2025

Last updated

Oct 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Oasis Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chantilly, VA
  • NPI 1093406712

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1093513236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 FAIR LAKES CIRCLE APT 403",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "509-339-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 WESTWOOD CENTER DR STE 110",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827525",
            "telephone_number": "703-722-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESUYI",
        "first_name": "OLUBOLA",
        "middle_name": "TOMILOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24192768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Adam, MD
• Roneisha Adams
• Timothy Adams
• Canesia Ade
• Carly Adelstein
• Josephine Adjei Boaitey
• Nicole Adkins
• Paulina Adu-Gyamfi
• Advanced 4 Healthcare Inc
• Advanced Bariatric Services, PLLC (Uswls)

• Psychiatric/Mental Health Nurse Practitioner in Vienna, VA
• Providers in Vienna, 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 Oct 20, 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.