Omolola Omoyemi Akinnodi, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1052830 Issued in TX

Practice address

2600 NE Highway 101 Ste 200
Lincoln City, OR 97367-4464

Phone

(541) 921-3584

Fax

(541) 614-1291

NPI assigned

Aug 31, 2021

Last updated

Sep 4, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO, OR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christine Lynn McCambridgeGroup PAC ID 6608284385, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omolola.akinnodi.p1@direct.grandronde.nextgenshare.com
• Direct secure messaging: omolola.akinnodi@489656322949124.direct.elationemr.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.

• Christine Lynn McCambridge

  dba Changing Tides Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
  • NPI 1619570322

  Family

  Medicare reassignment Care Compare group NPD
• Colorado in-Home Counseling

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1093220006
  Medicare reassignment NPD
• Brashear Family Medical, P.a.

  dba Brashear Family Medical

  • Family Medicine Physician
  • Kaufman, TX
  • NPI 1750505236
  Medicare reassignment
• Renovo Chiropractic LLC

  • Clinic/Center
  • Lincoln City, OR
  • NPI 1710442751
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1356019897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINNODI",
        "first_name": "OMOLOLA",
        "middle_name": "OMOYEMI",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30071",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0101010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10019767",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1052830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Gray Aarons
• Aikens Dialysis LLC (Lincoln City Dialysis)
• Albert P. Thompson (Bayshore Family Medicine)
• Laurene Norelle Alcocer, RPH
• Alexis Arreola LLC
• McKaila Allcorn, DO
• Heather L Allen, PSYD

• Psychiatric/Mental Health Nurse Practitioner in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.