Individual provider Active NPI

Mufutiat Oyegunle, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1386567311
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R222661 Issued in MD
Practice address
2200 Defense Hwy Ste 307
Crofton, MD 21114-2930
Phone
(301) 327-0328
NPI assigned
Aug 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 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 R222661 MD Primary

Addresses

Primary practice location

2200 Defense Hwy Ste 307
Crofton, MD 21114-2930

Mailing address

2200 Defense Hwy Ste 307
Crofton, MD 21114-2930
Phone (301) 327-0328

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

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1386567311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY STE 307",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142930",
            "telephone_number": "301-327-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY STE 307",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142930",
            "telephone_number": "301-327-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEGUNLE",
        "first_name": "MUFUTIAT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

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