Individual provider Active NPI

Chika C Okeoma, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dumfries, VA
National Provider Identifier
1508604737
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190728 Issued in VA
Practice address
3763 Fettler Park Dr
Dumfries, VA 22025-1946
Phone
(571) 621-3202
Fax
(703) 221-9191
NPI assigned
Jul 20, 2024
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0024190728 VA Primary

Addresses

Primary practice location

3763 Fettler Park Dr
Dumfries, VA 22025-1946

Mailing address

18460 Kerill Rd
Triangle, VA 22172-2082
Phone (571) 621-3202

Other practice location 1

18460 Kerill Rd
Triangle, VA 22172-2082
Phone (571) 527-6737

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
I20241120004743 VA Practitioner - Nurse Practitioner 9830449172 Reassigns benefits to 5 organizations
I20250319003152 DC Practitioner - Nurse Practitioner 9830449172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Potomac Shores Mental Health and Wellness LLCGroup PAC ID 7719379072, 5 clinicians
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

13000 Harbor Ctr Dr
Suite 103
Woodbridge, VA 22192-2847
Phone (703) 977-6556

14011 Worth Ave
Suite 130And150
Woodbridge, VA 22192-4123
Phone (703) 543-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Single Specialty CurrentSince Feb 21, 2025 Accepting new patients
Connections Healthva, LLC Single Specialty CurrentSince Jan 28, 2026 Accepting new patients
Caring First Healthcare Services Current Accepting new patients
Godaelli Healthcare Services Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Potomac Shores Mental Health & Wellness LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Connections Healthva, LLC CurrentSince Jan 28, 2026 Accepting new patients
Nowthrive Mental Health and Wellness Center LLC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients
Total Healing Telehealth Services Inc Single Specialty Past Accepting new patients

Locations

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

3763 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 931-6012

7777 Leesburg Pike
Ste 305S
Falls Church, VA 22043
Phone (703) 977-6556

1701 Fall Hill Ave
Ste 111
Fredericksburg, VA 22401
Phone (540) 903-1888

1765 Greensboro Station Pl
Fl 9
Mc Lean, VA 22102
Phone (540) 701-5559

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

13000 Harbor Center Dr
Ste 103
Woodbridge, VA 22192
Phone (571) 492-7954

14011 Worth Ave
Ste 130150
Woodbridge, VA 22192
Phone (703) 543-9948

1455 Old Bridge Rd
Ste 204
Woodbridge, VA 22192
Phone (703) 870-0738

1549 Old Bridge Rd
Ste 303
Woodbridge, VA 22192
Phone (571) 398-2600

Organizations & group practices 9

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": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1508604737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18460 KERILL RD",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722082",
            "telephone_number": "571-621-3202",
            "fax_number": "703-221-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "571-621-3202",
            "fax_number": "703-221-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18460 Kerill Rd",
            "address_purpose": "LOCATION",
            "city": "Triangle",
            "state": "VA",
            "postal_code": "221722082",
            "country_code": "US",
            "telephone_number": "571-527-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEOMA",
        "first_name": "CHIKA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.