Active NPI
Tolu Okuneye
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1235787409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6847
- Practice address
- 1801 Nicollet Ave
Minneapolis, MN 55403-3791 - Phone
- (612) 596-9438
- NPI assigned
- Aug 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6847 | MN | Primary |
Addresses
Primary practice location
1801 Nicollet Ave
Minneapolis, MN 55403-3791
Mailing address
1801 Nicollet Ave
Minneapolis, MN 55403-3791
Phone (612) 596-9438
Other practice location 1
621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone (612) 979-2276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6847 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin County | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1235787409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033791",
"telephone_number": "612-596-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033791",
"telephone_number": "612-596-9438"
}
],
"practiceLocations": [
{
"address_1": "621 W Lake St Ste 350",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554082952",
"country_code": "US",
"telephone_number": "612-979-2276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKUNEYE",
"first_name": "TOLU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-29",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "6847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.