Individual provider Active NPI

Olamide M Ipeaiyeda, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1851019244
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024184883 Issued in VA
Practice address
6900 Atmore Dr
Richmond, VA 23225-5644
Phone
(804) 315-0537
Fax
(804) 251-2427
NPI assigned
Aug 22, 2022
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024184883 VA Primary

Addresses

Primary practice location

6900 Atmore Dr
Richmond, VA 23225-5644

Mailing address

6900 Atmore Dr
Richmond, VA 23225-5644
Phone (804) 315-0537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250811003511 VA Practitioner - Nurse Practitioner 0345748133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blogravic LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

1716 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 572-1538

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1851019244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ATMORE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255644",
            "telephone_number": "804-315-0537",
            "fax_number": "804-251-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ATMORE DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255644",
            "telephone_number": "804-315-0537",
            "fax_number": "804-251-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPEAIYEDA",
        "first_name": "OLAMIDE",
        "middle_name": "M",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.