Mujidat Seidu, DNP, APRN-CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Oklahoma City, OK
NPI 1417829888 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1417829888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 225672 (OK)
- Practice address
- 6613 N Meridian Ave
Oklahoma City, OK 73116-1423 - Phone
- (405) 821-6904
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Holloway Group Inc
Practice addresses (Care Compare)
6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Phone (405) 603-8450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260109002830 | OK | Practitioner - Nurse Practitioner | 2769968635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225672 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holloway Group Inc | Current |
Accepting new patients |
Locations
6613 N Meridian Ave
Oklahoma City, OK 73116
Phone (405) 603-8450
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 225672 | OK | Yes |
Addresses
Primary practice location
6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Mailing address
9744 SW 27TH St
Oklahoma City, OK 73128-5813
Phone (713) 689-0935
NPI Registry JSON
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1417829888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9744 SW 27TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731285813",
"telephone_number": "713-689-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6613 N MERIDIAN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161423",
"telephone_number": "405-821-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDU",
"first_name": "MUJIDAT",
"credential": "DNP, APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "225672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Emma Ma'Rya Nychole Sego
- Rebecca Segrest
- John E. Seguin
- Benjamin Gene Seibert
- Jessica Seibold
- Michael R Seikel
- Liji Seilas
- Janet Seiter
- David W. Seitsinger
- Casey Jordan Seitz
All providers in Oklahoma City, OK · Psychiatric/Mental Health Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.