Individual provider Active NPI

Yetunde R Okediran, DNP, PMHNP-BC

  • Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1821954645
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
081260-23 Issued in NH
Practice address
1 Medical Dr
Lebanon, NH 03756-1000
Phone
(603) 266-8756
Fax
(802) 478-0740
NPI assigned
Dec 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 081260-23 NH Primary

Addresses

Primary practice location

1 Medical Dr
Lebanon, NH 03756-1000

Mailing address

1 Medical Dr
Lebanon, NH 03756-1000
Phone (603) 266-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001489 NH Practitioner - Nurse Practitioner 4688157506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of New London PLLCGroup PAC ID 0042369910, 45 clinicians
Supportive Care of New Hampshire LLCGroup PAC ID 9133506272, 17 clinicians

Practice addresses (Care Compare)

2 Buck Rd
Hanover, NH 03755-2715
Phone (603) 865-1321

20 Chester Rd
Derry, NH 03038-1636
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081260-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC CurrentSince Jan 31, 2026 Accepting new patients

Locations

2 Buck Rd
Hanover, NH 03755
Phone (603) 448-6940

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1766620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1821954645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-266-8756",
            "fax_number": "802-478-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-266-8756",
            "fax_number": "802-478-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEDIRAN",
        "first_name": "YETUNDE",
        "middle_name": "R",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-25",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "081260-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.