Blogravic LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Chesterfield, VA
NPI 1548093578 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1548093578
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BLOGRAVIC LLC
- Practice address
- 10100 Iron Bridge Rd
Chesterfield, VA 23832-6507 - Phone
- (804) 315-0537
- Fax
- (804) 251-2427
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Olamide M Ipeaiyeda, NP
- Title
- Pmhnp
- Phone
- (804) 821-8922
Practitioners 1
-
Olamide M Ipeaiyeda, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250811003420 | VA | Part B Supplier - Clinic/Group Practice | 6800394693 |
Receives reassigned benefits from 1 practitioner Practice locations: Chester, VA |
National Provider Directory
Locations
4501 W Hundred Rd
Chester, VA 23831
Phone (908) 875-2190
1716 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 572-1538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
10100 Iron Bridge Rd
Chesterfield, VA 23832-6507
Mailing address
10100 Iron Bridge Rd
Chesterfield, VA 23832-6507
Phone (804) 315-0537
Other names
- Blogravic Health Services
Other providers in Chesterfield, VA
- Jessica G Black
- Maria Bland
- Torasha Blanding
- Shannon Renee Blankenship
- Scott Block
- Bluebird Holistic Health
- Franklin Fook Lin Boon
- Keith A Borders
- Kristina Bosworth
- Darian Bottoms
All providers in Chesterfield, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.