Individual provider Active NPI

Robinah Kyallisima Nwanna, CNP, PMHNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wayzata, MN
National Provider Identifier
1336062918
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14343 Issued in MN
Practice address
600 Twelve Oaks Center Dr Ste 217
Wayzata, MN 55391-4541
Phone
(952) 322-0768
Fax
(952) 592-3941
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 14343 MN Primary

Addresses

Primary practice location

600 Twelve Oaks Center Dr Ste 217
Wayzata, MN 55391-4541

Mailing address

600 Twelve Oaks Center Dr Ste 217
Wayzata, MN 55391-4541
Phone (952) 322-0768

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goodplace Mental Health Services LLC PastSince May 28, 2026 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": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1336062918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 217",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914541",
            "telephone_number": "952-322-0768",
            "fax_number": "952-592-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 217",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914541",
            "telephone_number": "952-322-0768",
            "fax_number": "952-592-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANNA",
        "first_name": "ROBINAH",
        "middle_name": "KYALLISIMA",
        "name_prefix": "Mrs.",
        "credential": "CNP, PMHNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "14343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

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

Verify at the official NPI Registry.