Individual provider Active NPI

Moradeke O Okunoye

  • Psychiatric/Mental Health Nurse Practitioner
  • Barhamsville, VA
National Provider Identifier
1417655648
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024186526 Issued in VA
Practice address
17320 New Kent Hwy
Barhamsville, VA 23011-2353
Phone
(804) 652-1253
NPI assigned
Feb 17, 2023
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 0024186526 VA Primary

Addresses

Primary practice location

17320 New Kent Hwy
Barhamsville, VA 23011-2353

Mailing address

17320 New Kent Hwy
Barhamsville, VA 23011-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250821001234 VA Practitioner - Nurse Practitioner 4688174022 Reassigns benefits to 2 organizations
I20260610004489 DC Practitioner - Nurse Practitioner 4688174022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10299 Woodman Rd
Glen Allen, VA 23060-4419

6504 Woodlake Village Cir
Midlothian, VA 23112-2200

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Area Mental Heatlh and Developmental Services CurrentSince Apr 26, 2025 Accepting new patients
Ephratah Health Group LLC Psychiatric/Mental Health CurrentSince Dec 8, 2023 Accepting new patients
Balance Behavioral Health, PLLC Psychiatric/Mental Health PastSince Dec 1, 2025 Accepting new patients

Locations

10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571

8726 Landmark Rd
Henrico, VA 23228
Phone (347) 635-2021

6504 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 601-3653

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1417655648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 NEW KENT HWY",
            "city": "BARHAMSVILLE",
            "state": "VA",
            "postal_code": "230112353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 NEW KENT HWY",
            "city": "BARHAMSVILLE",
            "state": "VA",
            "postal_code": "230112353",
            "telephone_number": "804-652-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNOYE",
        "first_name": "MORADEKE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barhamsville, VA

Sources for this page

Verify at the official NPI Registry.