Individual provider Active NPI

Maureen Olaitan Dosunmu-Kagha, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • MC Leansville, NC
National Provider Identifier
1235069899
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5024582 Issued in NC
Practice address
5711 McLeansville Rd Unit 23
MC Leansville, NC 27301-0108
Phone
(336) 501-5754
NPI assigned
May 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 314183 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5024582 NC Primary

Addresses

Primary practice location

5711 McLeansville Rd Unit 23
MC Leansville, NC 27301-0108

Mailing address

5711 McLeansville Rd Unit 23
MC Leansville, NC 27301-0108
Phone (336) 501-5754

Other identifiers 2

IdentifierTypeStateIssuer
314183OtherNCRN
5024582OtherNCNP

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Little Brook Rd
West Wareham, MA 02576-1222

225 W Washington St
Suite 1500
Chicago, IL 60606-3485

PO Box
Suite 1431
Charlotte, NC 28201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314183NCMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1235069899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 MCLEANSVILLE RD UNIT 23",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273010108",
            "telephone_number": "336-501-5754",
            "fax_number": "336-501-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 MCLEANSVILLE RD UNIT 23",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273010108",
            "telephone_number": "336-501-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSUNMU-KAGHA",
        "first_name": "MAUREEN",
        "middle_name": "OLAITAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "314183",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "314183",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "5024582",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Leansville, NC

Sources for this page

Verify at the official NPI Registry.