Uhunoma Lysa Osadolor

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8149 Issued in MN

Practice address

1710 Douglas Dr N Ste 204
Golden Valley, MN 55422-4387

Phone

(612) 584-9629

NPI assigned

Apr 6, 2021

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Brain MN PLLCGroup PAC ID 6709317787, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: uhunoma.osadolor.1@19923.direct.athenahealth.com

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.

• Optimal Brain MN, PLLC

  • Clinical Psychologist
  • Oakdale, MN
  • NPI 1609614957
  Medicare reassignment Care Compare group NPD
• Ashlee Secord

  dba Thrive Therapy, LLC

  • Marriage & Family Therapist
  • Burnsville, MN
  • NPI 1073902177
  Medicare reassignment NPD
• Ample Grace LLC

  • Adult Mental Health Clinic/Center
  • Golden Valley, MN
  • NPI 1952971657
  NPD Authorized official
• Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
  • NPI 1396314654
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1295314391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 204",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 204",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224387",
            "telephone_number": "612-584-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSADOLOR",
        "first_name": "UHUNOMA",
        "middle_name": "LYSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nyamoita Opore
• Optumhealth Care Solutions
• Catherine Ann Origlieri, MD
• Orion Iso Fse
• Maria Juanita Ortiz, PTA
• Patricia Ostberg-Speiker, MA
• Angela Sue Oster, MD
• Briana Arline Osterman, MA
• Debora Ann Ostlund, PTA
• Matthew James Ostrander, MD

• Psychiatric/Mental Health Nurse Practitioner in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.