Individual provider Active NPI

Motunrayo Tuntun Etteyit, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1558829481
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R211533 Issued in MD
Practice address
540 Riverside Dr Ste 16
Salisbury, MD 21801-5352
Phone
(302) 232-5739
Fax
(804) 460-6697
NPI assigned
Mar 11, 2019
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R211533 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010662 DE
Family Nurse Practitioner 363LF0000X R211533 MD

Addresses

Primary practice location

540 Riverside Dr Ste 16
Salisbury, MD 21801-5352

Mailing address

6284 Diamondback Dr
Salisbury, MD 21801-8463
Phone (302) 232-5739

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Motunrayo Tuntun Ogunfiditimi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 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
I20190611000928 MD Practitioner - Nurse Practitioner 7517290315 Reassigns benefits to 2 organizations
I20240827003179 DC Practitioner - Nurse Practitioner 7517290315 Reassigns benefits to 1 organization
I20241121002005 DE Practitioner - Nurse Practitioner 7517290315 Reassigns benefits to 4 organizations

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
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians

Practice addresses (Care Compare)

1100 Norman Eskridge Hwy
Seaford, DE 19973-1724
Phone (302) 629-3575

17028 Cadbury Cir
Lewes, DE 19958-7022
Phone (302) 644-6370

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

715 E King St
Seaford, DE 19973-3505
Phone (302) 628-3000

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010662DEMDPsychiatric/Mental Health Nurse Practitioner
R211533MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Dec 9, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 22, 2024 Accepting new patients
Muse Integrative Care LLC CurrentSince Sep 1, 2025 Accepting new patients
De Pacs 2 PA CurrentSince Dec 9, 2024 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Dec 9, 2024 Accepting new patients
Atlantic Psychological Practice, P.a. PastSince Sep 1, 2025 Accepting new patients

Locations

17028 Cadbury Cir
Lewes, DE 19958
Phone (302) 644-6370

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

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

540 Riverside Dr
Ste 16
Salisbury, MD 21801
Phone (302) 232-5739

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

Organizations & group practices 7

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1558829481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 DIAMONDBACK DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218018463",
            "telephone_number": "302-232-5739",
            "fax_number": "804-460-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 16",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "302-232-5739",
            "fax_number": "804-460-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTEYIT",
        "first_name": "MOTUNRAYO",
        "middle_name": "TUNTUN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R211533",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOTUNRAYO",
            "last_name": "OGUNFIDITIMI",
            "middle_name": "TUNTUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.