Individual provider Active NPI

Adenike Yetunde Awotundun, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1174085575
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031075 Issued in PA
Practice address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone
(717) 232-9971
NPI assigned
Apr 3, 2019
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018939 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031075 PA Primary

Addresses

Primary practice location

110 S 17TH St
Harrisburg, PA 17104-1123

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 1

895 S Arlington Ave
Harrisburg, PA 17109-5004
Phone (717) 232-9971

Other practice location 2

1020 N Union St Apt 204
Middletown, PA 17057-2158
Phone (717) 704-6560

Other practice location 3

1313 Monroe St
Harrisburg, PA 17103-1139
Phone (717) 232-9971

Other identifiers 3

IdentifierTypeStateIssuer
103734881-0006MedicaidPA
103734881-0008MedicaidPA
103734881-0007MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aawotundun@hamiltonhealthcenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001016 PA Practitioner - Nurse Practitioner 5698017739 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018939PAMDFamily Nurse Practitioner
SP031075PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Health Center, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Hamilton Health Center, Inc CurrentSince Aug 17, 2025 Accepting new patients
Hamilton Health Center@ Downey Past Accepting new patients

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

1313 Monroe St
Harrisburg, PA 17103
Phone (717) 230-3906

895 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-7616

1000 Evelyn Dr
Millersburg, PA 17061
Phone (717) 230-3700

46 Red Hill Ct
Newport, PA 17074
Phone (717) 567-3151

120 N Front St
Steelton, PA 17113
Phone (717) 230-3926

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1174085575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 S Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095004",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 N Union St Apt 204",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170572158",
            "country_code": "US",
            "telephone_number": "717-704-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171031139",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOTUNDUN",
        "first_name": "ADENIKE",
        "middle_name": "YETUNDE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018939",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103734881-0006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103734881-0008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103734881-0007",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aawotundun@hamiltonhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "110 S 17th St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.