Christiana Upe Omodugba-Udeh, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61408400 Issued in WA

Practice address

216 W 10TH Ave
Kennewick, WA 99336-6300

Phone

(509) 870-9150

NPI assigned

Dec 12, 2022

Last updated

Jul 20, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, VA, CO3 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Upnext Psychiatric Associates PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1891567269

  CO, VA

  Medicare reassignment NPD Authorized official
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  CO, TX

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TX

  Medicare reassignment NPD
• Caretown LLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1033071063
  NPD Authorized official
• Caretown LLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1548122740
  NPD Authorized official
• Ehab Yacoub MD PLLC

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1700685997
  Medicare reassignment
• Comprehensive Healthcare - Benton County

  • Community/Behavioral Health Agency
  • Kennewick, WA
  • NPI 1467374975
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1396456174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 NOEL RD STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406694",
            "telephone_number": "833-400-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366300",
            "telephone_number": "509-870-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13355 Noel Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406694",
            "country_code": "US",
            "telephone_number": "833-400-0120 x00120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13355 Noel Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406694",
            "country_code": "US",
            "telephone_number": "833-400-0120 x00120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMODUGBA-UDEH",
        "first_name": "CHRISTIANA",
        "middle_name": "UPE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61408400",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2022026825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Ollie, DC, BSC
• Abbigayle Rose Olsen, LMP
• Gary Olson, D.D.S.
• Morgun S Olson, RN
• Megan Oltman, MT
• On Scene Medical Services, P.C.
• Oncology Group PLLC
• Brad Oneal
• Kendra Christine Oney-Gardner, MA; CMHS
• Obioma Nnamdi Onuorah, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.