Individual provider Active NPI

Oluwakemi Olawuyi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berryville, VA
National Provider Identifier
1508317249
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024175186 Issued in VA
Practice address
1 W Main St
Berryville, VA 22611-1340
Phone
(240) 382-2401
Fax
(949) 449-7561
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN182653 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ACOO3284 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175186 VA Primary

Addresses

Primary practice location

1 W Main St
Berryville, VA 22611-1340

Mailing address

1 W Main St
Berryville, VA 22611-1340
Phone (240) 382-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WV, VA3 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

Enrollment IDStateProvider typePAC IDDetails
I20161213001617 DC Practitioner - Nurse Practitioner 4880974765 Reassigns benefits to 1 organization
I20180302002252 WV Practitioner - Nurse Practitioner 4880974765 Reassigns benefits to 1 organization
I20180403002169 VA Practitioner - Nurse Practitioner 4880974765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 W Main St
Berryville, VA 22611-1340
Phone (540) 667-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN182653MDMDFamily Nurse Practitioner
ACOO3284MDMDPsychiatric/Mental Health Nurse Practitioner
0024175186VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hava Oaks Medical, LLC Psychiatric/Mental Health CurrentSince Sep 3, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Aug 24, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 19, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1 W Main St
Berryville, VA 22611
Phone (540) 667-1230

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1508317249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "240-382-2401",
            "fax_number": "949-449-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "240-382-2401",
            "fax_number": "949-449-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWUYI",
        "first_name": "OLUWAKEMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN182653",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "ACOO3284",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

Verify at the official NPI Registry.