Individual provider Active NPI

Opeyemi Kemiki Dada, PMHNP-BC, CPNP-PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1174800353
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010526 Issued in DE
Practice address
1308 Sherwood Ave
Richmond, VA 23220-1210
Phone
(804) 828-3129
Fax
(804) 628-1236
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LJ0000301 DE
Pediatric Nurse Practitioner 363LP0200X R182034 MD
Pediatric Nurse Practitioner 363LP0200X LJ0000301 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010526 DE Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190248 VA
Pediatric Nurse Practitioner 363LP0200X 209009246 IL
Pediatric Nurse Practitioner 363LP0200X 0024190248 VA

Addresses

Primary practice location

1308 Sherwood Ave
Richmond, VA 23220-1210

Mailing address

8401 Mayland Dr # 7117
Richmond, VA 23294-4648
Phone (240) 505-2416

Other practice location 1

2924 Brook Rd
Richmond, VA 23220-1215
Phone (804) 628-9346

Other practice location 2

1200 E Broad St
Richmond, VA 23298-5025
Phone (804) 628-9346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240917003074 VA Practitioner - Nurse Practitioner 3476714205 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LJ0000301DEMDNurse Practitioner
R182034MDMDPediatric Nurse Practitioner
L8-0010526DEMDPsychiatric/Mental Health Nurse Practitioner
0024190248VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Thought Therapy PLLC Psychiatric/Mental Health CurrentSince Dec 2, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Sep 1, 2024 Accepting new patients

Locations

8401 Mayland Dr
#7117
Richmond, VA 23294
Phone (804) 302-2569

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

8401 Mayland Dr
#7717
Richmond, VA 23294
Phone (804) 302-2569

1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129

2924 Brook Rd
Richmond, VA 23220
Phone (804) 321-7474

Organizations & group practices 2

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1174800353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 7117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "240-505-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 SHERWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201210",
            "telephone_number": "804-828-3129",
            "fax_number": "804-628-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201215",
            "country_code": "US",
            "telephone_number": "804-628-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985025",
            "country_code": "US",
            "telephone_number": "804-628-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADA",
        "first_name": "OPEYEMI",
        "middle_name": "KEMIKI",
        "credential": "PMHNP-BC, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LJ0000301",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R182034",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ0000301",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010526",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190248",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209009246",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024190248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.