Individual provider Active NPI

Bridget Osayomore Orumwense, PMHNP

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1649036831
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
SP028948 Issued in PA
Practice address
1401 S 31St St
Philadelphia, PA 19146-3506
Phone
(267) 971-3384
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X SP028948 PA Primary

Addresses

Primary practice location

1401 S 31St St
Philadelphia, PA 19146-3506

Mailing address

15 W Plumstead Ave
Lansdowne, PA 19050-1123
Phone (267) 971-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240829002618 PA Practitioner - Nurse Practitioner 9830538354 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Jun 16, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Jun 16, 2024 Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1649036831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W PLUMSTEAD AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501123",
            "telephone_number": "267-971-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "267-971-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUMWENSE",
        "first_name": "BRIDGET",
        "middle_name": "OSAYOMORE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "SP028948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.