Active NPI
Temiloluwa Oluwatoyin Ilesanmi, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1059632
- Practice address
- 1818 New York Ave NE
Washington, DC 20002-1848 - Phone
- (202) 800-6440
- Fax
- (202) 899-6994
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1059632 | DC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024190104 | VA |
Addresses
Primary practice location
1818 New York Ave NE
Washington, DC 20002-1848
Mailing address
15 Wheelwright LN
Stafford, VA 22554-8833
Phone (307) 220-0677
Other practice location 1
188 Onville Rd
Stafford, VA 22556-3805
Phone (888) 887-6867
Other names 1
- Temiloluwa Oluwatoyin Adeyehum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240907000550 | DC | Practitioner - Nurse Practitioner | 0345780151 | Reassigns benefits to 3 organizations |
| I20241209003759 | VA | Practitioner - Certified Clinical Nurse Specialist (CNS) | 0345780151 | Reassigns benefits to 2 organizations |
| I20250718004221 | MD | Practitioner - Nurse Practitioner | 0345780151 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1901 E Franklin St
Suite 108
Richmond, VA 23223-6966
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190104 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Healthva, LLC | Single Specialty | Current | Accepting new patients |
| Connections Healthva, LLC | Current | Accepting new patients | |
| Grace Health Services LLC | Single Specialty | Current | Accepting new patients |
| Grow Healthcare Group PA | Single Specialty | Current | Accepting new patients |
| Mindfulvision Psychiatry LLC | Single Specialty | Current | Accepting new patients |
Locations
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
1418 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 796-5000
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1 N Charles St
Ste 1904
Baltimore, MD 21201
Phone (307) 220-0677
14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948
188 Onville Rd
Stafford, VA 22556
Phone (540) 645-4777
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1568284008
DC, MD, Single Specialty, VA
-
- Psychiatric Residential Treatment Facility
- Chantilly, VA
- NPI 1306524285
DC, Single Specialty
-
- Community/Behavioral Health Agency
- Woodbridge, VA
- NPI 1932882800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1699522854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WHEELWRIGHT LN",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548833",
"telephone_number": "307-220-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 NEW YORK AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021848",
"telephone_number": "202-800-6440",
"fax_number": "202-899-6994"
}
],
"practiceLocations": [
{
"address_1": "188 Onville Rd",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225563805",
"country_code": "US",
"telephone_number": "888-887-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILESANMI",
"first_name": "TEMILOLUWA",
"middle_name": "OLUWATOYIN",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1059632",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024190104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEMILOLUWA",
"last_name": "ADEYEHUM",
"middle_name": "OLUWATOYIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.