Chika I Ogbolu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176503 Issued in VA

Practice address

425 W Washington St Ste 4
Suffolk, VA 23434-5320

Phone

(575) 209-4607

Fax

(757) 300-5724

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chika I Umejei Ogbolu Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

George Washington University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waterside Psychiatry LLCGroup PAC ID 3173062296, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Waterside Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
  • NPI 1477303790
  Medicare reassignment Care Compare group NPD
• Heroic Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
  • NPI 1629721980
  NPD Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1528549219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 REDLEAFE CIR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203226",
            "telephone_number": "757-209-4607",
            "fax_number": "757-300-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W WASHINGTON ST STE 4",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345320",
            "telephone_number": "575-209-4607",
            "fax_number": "757-300-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOLU",
        "first_name": "CHIKA",
        "middle_name": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIKA",
            "last_name": "UMEJEI OGBOLU",
            "middle_name": "I",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Charles Lloyd Odea, D.C.
• Andrew Joseph Odwyer, M.D.
• Obiora Ofole, MD
• Ugochi Ofole, MD
• Emmanuel Ofosu Agyei, NP
• Onweli Ernest Ogbolu, M.D.
• Francis Chukwuemeka Ogoegbunam
• Akinwunmi Ojo-Carons, M.D.
• Charlene Warner Oldfield, M.D.
• Susan Abigail Olson

• Family Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.