Monsurat N Oluwa-Okougbo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MONSURAT N OLUWA-OKOUGBO

Practice address

8539 Eagle Point Blvd.
100
Lake Elmo, MN 55042

Phone

(612) 643-3149

Fax

(612) 453-3133

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Monsurat Oluwa-OkougboNPI 1326659210

Title

Pmhnp-BC

Phone

(612) 643-3149

Specialties & licenses 1

Addresses

Other names 1

• GRACE & WILL PSYCHIATRIC MHS Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monsurat Oluwa-Okougbo, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport, MN
  • NPI 1326659210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1548915465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 EAGLE POINT BLVD.",
            "address_2": "100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "55042",
            "telephone_number": "612-643-3149",
            "fax_number": "612-453-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 EAGLE POINT BLVD.",
            "address_2": "100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "55042",
            "telephone_number": "612-643-3149",
            "fax_number": "612-453-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONSURAT N OLUWA-OKOUGBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "OLUWA-OKOUGBO",
        "authorized_official_first_name": "MONSURAT",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "612-643-3149"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE & WILL PSYCHIATRIC MHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy McKenzie
• Marchel'Le McMiller-Randle
• Mindwell PLLC
• Faduma Abdullahi Mohamed
• Marwa Mohamud
• Alfredo Montes Imeri, DDS, MS
• William C Moore, CRNA
• Elizabeth Gullotta Murchie, MSN
• Eric D Muths, DC
• David Gordon Naegeli, DDS

• Psychiatric/Mental Health Nurse Practitioner in Lake Elmo, MN
• Providers in Lake Elmo, 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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.