Bukola Oluwashola Kuti

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12493 Issued in MN

Practice address

4265 Corn Silk LN
Woodbury, MN 55129-2213

Phone

(651) 230-1900

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bukola Oluwashola Awosanya Former name

Medicare fee-for-service enrollment

Enrolled in TX, MN2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Mind Body and Soul PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, MN
  • NPI 1639980808
  Medicare reassignment NPD Authorized official
• Zeitgeist Expressions Inc

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1336150101
  Medicare reassignment NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1811708100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 CORN SILK LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551292213",
            "telephone_number": "651-230-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 CORN SILK LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551292213",
            "telephone_number": "651-230-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Zeitgeist Expressions Inc",
            "address_2": "5282 Medical Dr Suite 605",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-447-7373",
            "fax_number": "210-444-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTI",
        "first_name": "BUKOLA",
        "middle_name": "OLUWASHOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1077716",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12493",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "1077716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUKOLA",
            "last_name": "AWOSANYA",
            "middle_name": "OLUWASHOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Barbara Kuehn, MSSLP-CF
• Sarah Nicole Kuehne
• Hannah Sara Kuhne, MSW, LICSW
• Amy Kukacka
• Kaylin Kulhanek, M.A. CFY-SLP
• Makaela Kuykendall
• Elizabeth Olivia Labarre, FNP-C
• McKayla Lacoursiere
• Yanchy R Lacska, MA, LP
• Shannon Elizabeth Laemmrich

• Psychiatric/Mental Health Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.