Active NPI
Folashade M. Akande, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- South Holland, IL
National Provider Identifier
1821826660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209030088
- Practice address
- 15525 S Park Ave Ste 103a
South Holland, IL 60473-1379 - Phone
- (312) 929-6829
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209030088 | IL | Primary |
Addresses
Primary practice location
15525 S Park Ave Ste 103a
South Holland, IL 60473-1379
Mailing address
15525 S Park Ave Ste 103a
South Holland, IL 60473-1379
Phone (312) 929-6829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209030088 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Link Homes | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Richton Park, IL
- NPI 1528874310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1821826660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 S PARK AVE STE 103A",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731379",
"telephone_number": "312-929-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 S PARK AVE STE 103A",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731379",
"telephone_number": "312-929-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKANDE",
"first_name": "FOLASHADE",
"middle_name": "M.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209030088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
- Advanced Eyecare South Holland OD and Associates PC (Advanced Eyecare of South Holland)
- Advantage MRI, LLC
- Advocate Health and Hospitals Corporation (Advocate Medical Group)
- Uchechukwu Ajaere
- Dorothy Mato Akaeze
- Alderson Family Connections, PC
- Kimberly Alderson, DSW, LCSW
- Alishia S Mercherson
- Antoinette Allen
- Jacquelyn Lavette Allen, MOTR/L, CPAM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.