Victoria Ogechi Okoaninneji
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Reynoldsburg, OH
NPI 1689452807 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1689452807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 0034937 (OH)
- Practice address
- 3284 Candlefire Dr
Reynoldsburg, OH 43068-5303 - Phone
- (614) 371-2414
- NPI assigned
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222003401 | OH | Practitioner - Nurse Practitioner | 9032553557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034937 | OH | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Dublin Springs Physician Group, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0034937 | OH | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0034937 | OH | Yes |
Addresses
Primary practice location
3284 Candlefire Dr
Reynoldsburg, OH 43068-5303
Mailing address
3284 Candlefire Dr
Reynoldsburg, OH 43068-5303
Phone (614) 371-2414
Other providers in Reynoldsburg, OH
- Ohio CVS Stores LLC
- Ohio Dental Professionals, Delisle, PC
- Ohio Disability Tranistion SVCS, LLC
- Ohio Podiatric Physicians and Surgeons Group LLC
- Rosie D Okafor
- Sandra Okyere
- Modupe Bunmi Olatawura
- Olly Home Health LLC
- Olly Home Health LLC
- Olanrewaju O Olusemo
All providers in Reynoldsburg, OH · Psychiatric/Mental Health Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.