Individual provider Active NPI

Oluwadunsin Ore Ogundola

  • Psychiatric/Mental Health Nurse Practitioner
  • Blacklick, OH
National Provider Identifier
1174431092
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0043203 Issued in OH
Practice address
9060 Philmont Curve Dr
Blacklick, OH 43004-3607
Phone
(925) 727-4811
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0043203 OH Primary

Addresses

Primary practice location

9060 Philmont Curve Dr
Blacklick, OH 43004-3607

Mailing address

9060 Philmont Curve Dr
Blacklick, OH 43004-3607
Phone (925) 727-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1174431092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 PHILMONT CURVE DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430043607",
            "telephone_number": "925-727-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 PHILMONT CURVE DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430043607",
            "telephone_number": "925-727-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDOLA",
        "first_name": "OLUWADUNSIN",
        "middle_name": "ORE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0043203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.