Individual provider Active NPI

Victoria Ogechi Okoaninneji

  • Psychiatric/Mental Health Registered Nurse
  • Reynoldsburg, OH
National Provider Identifier
1689452807
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
0034937 Issued in OH
Practice address
3284 Candlefire Dr
Reynoldsburg, OH 43068-5303
Phone
(614) 371-2414
NPI assigned
Sep 19, 2023
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0034937 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X 0034937 OH Primary

Addresses

Primary practice location

3284 Candlefire Dr
Reynoldsburg, OH 43068-5303

Mailing address

3284 Candlefire Dr
Reynoldsburg, OH 43068-5303
Phone (614) 371-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240222003401 OH Practitioner - Nurse Practitioner 9032553557 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0034937OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 14, 2025 Accepting new patients
Dublin Springs Physician Group, LLC CurrentSince Feb 8, 2024 Accepting new patients
Recovery Innovations, Inc Past Accepting new patients

Locations

4801 Olympia Park Plz
Ste 1000
Louisville, KY 40241

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1689452807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 CANDLEFIRE DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430685303",
            "telephone_number": "614-371-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 CANDLEFIRE DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430685303",
            "telephone_number": "614-371-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOANINNEJI",
        "first_name": "VICTORIA",
        "middle_name": "OGECHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0034937",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.