Individual provider Active NPI

Osayande Alfred-Iyamu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1730895327
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61680532 Issued in WA
Practice address
101 Elliott Ave W
Seattle, WA 98119-4236
Phone
(425) 678-6463
NPI assigned
Jan 26, 2023
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61680532 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 773088 TX

Addresses

Primary practice location

101 Elliott Ave W
Seattle, WA 98119-4236

Mailing address

3838 D PL SE Apt 1
Auburn, WA 98002-8696
Phone (469) 450-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230517000984 TX Practitioner - Nurse Practitioner 7416313564 Reassigns benefits to 2 organizations
I20250604003814 WA Practitioner - Nurse Practitioner 7416313564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
773088TXMDPsychiatric/Mental Health Nurse Practitioner
AP61680532WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince May 22, 2025 Accepting new patients
BJT Behavioral Health Center Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients

Locations

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

450 Century Pkwy
Ste 250
Allen, TX 75013
Phone (972) 516-4320

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 405-5504

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1730895327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 D PL SE APT 1",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028696",
            "telephone_number": "469-450-7164",
            "fax_number": "214-975-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194236",
            "telephone_number": "425-678-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFRED-IYAMU",
        "first_name": "OSAYANDE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61680532",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "773088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.