Johnthap Obakpolor

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13722 Issued in MN

Practice address

12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347

Phone

(612) 482-2034

NPI assigned

Dec 15, 2025

Last updated

Jul 11, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Resonancebridge Psychiatry & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maple Grove, MN
  • NPI 1639034770
  Medicare reassignment NPD Authorized official
• Better Outlook LLC

  dba Better Outlook

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakdale, MN
  • NPI 1447755814
  NPD
• Blossom Wellness LLC

  • Clinic/Center
  • Oakdale, MN
  • NPI 1164289690
  NPD

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1457215196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12682 88TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347",
            "telephone_number": "612-482-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4527 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165352",
            "country_code": "US",
            "telephone_number": "612-482-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 S Ivy Ave",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910162827",
            "country_code": "US",
            "telephone_number": "612-482-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBAKPOLOR",
        "first_name": "JOHNTHAP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039158",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "13722",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "225729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry O'Leary, ARNP
• Gage O'Neal
• Danah Marie O'Neil, M.D.
• Alison O'Sadnick
• Melody Oaks
• Lauren Oberle
• Anne Obermiller
• Chinyere Obi, ADN
• Karenna Obilade
• Kayeleigh Nichole Oconnor

• Psychiatric/Mental Health Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
• 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.