Individual provider Active NPI

Tolulope Dada, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakridge, OR
National Provider Identifier
1124418728
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178688 Issued in VA
Practice address
47815 Highway 58
Oakridge, OR 97463-9572
Phone
(541) 782-8304
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178688 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9356454 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9915 AZ

Addresses

Primary practice location

47815 Highway 58
Oakridge, OR 97463-9572

Mailing address

PO Box 546
Gresham, OR 97030-0132

Other identifiers 2

IdentifierTypeStateIssuer
500823827MedicaidOR
014272200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20150414001864 FL Practitioner - Nurse Practitioner 0143548586 Reassigns benefits to 1 organization
I20230817000856 OR Practitioner - Nurse Practitioner 0143548586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

24461 E Welches Rd
Welches, OR 97067-7067
Phone (971) 333-0494

37400 Bell St
Sandy, OR 97055-7868
Phone (971) 220-2701

535 NE 6TH Ave
Estacada, OR 97023-9312
Phone (503) 630-8550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9915AZMDPsychiatric/Mental Health Nurse Practitioner
0024178688VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, PC CurrentSince Sep 1, 2023 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
Clay Behavioral Health Center Inc CurrentSince Aug 8, 2023 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Aug 15, 2018 Accepting new patients
Gentles Couseling Services PastSince Jun 1, 2024 Accepting new patients
Hanover County Board of Supervisors PastSince Nov 1, 2022 Accepting new patients
Hanover County Board of Supervisors PastSince Nov 1, 2022 Accepting new patients

Locations

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

3292 County Road 220
Middleburg, FL 32068
Phone (904) 291-5561

41 Knight Boxx Rd
Orange Park, FL 32065
Phone (904) 291-5561

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • Direct secure messaging: tolulope.dada.1@31614.direct.athenahealth.com
  • Direct secure messaging: tolulope.dada.1@15142.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1124418728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47815 HIGHWAY 58",
            "city": "OAKRIDGE",
            "state": "OR",
            "postal_code": "974639572",
            "telephone_number": "541-782-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADA",
        "first_name": "TOLULOPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178688",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9356454",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500823827",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014272200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakridge, OR

Sources for this page

Verify at the official NPI Registry.