Individual provider Active NPI

Oluwakemi Mitchell, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Land O Lakes, FL
National Provider Identifier
1861222580
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11034528 Issued in FL
Practice address
22356 Cherokee Rose PL
Land O Lakes, FL 34639-3111
Phone
(813) 469-4215
Fax
(813) 537-8710
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11034528 FL Primary

Addresses

Primary practice location

22356 Cherokee Rose PL
Land O Lakes, FL 34639-3111

Mailing address

22356 Cherokee Rose PL
Land O Lakes, FL 34639-3111
Phone (813) 537-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250306002873 FL Practitioner - Nurse Practitioner 8527589548 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Medical LLCGroup PAC ID 6709112832, 2 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

10549 N Florida Ave
Suite a
Tampa, FL 33612-6707
Phone (813) 220-1400

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034528FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaafi Counseling Single Specialty CurrentSince Jul 5, 2025 Accepting new patients
Main Street Medical LLC Single Specialty CurrentSince Feb 21, 2025 Accepting new patients
Sondermind Provider Network LLC Single Specialty CurrentSince Mar 3, 2025 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Apr 23, 2025 Accepting new patients
Kaafi Counseling PastSince Sep 21, 2025 Accepting new patients

Locations

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

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

10549 N Florida Ave
Ste A
Tampa, FL 33612
Phone (813) 220-1400

1920 Palm Beach Lakes Blvd
Ste 210
West Palm Beach, FL 33409
Phone (561) 463-0884

1499 Forest Hill Blvd
Ste 115
West Palm Beach, FL 33406
Phone (561) 308-4432

1655 Palm Beach Lakes Blvd
Ste 540C
West Palm Beach, FL 33401
Phone (561) 463-0884

Organizations & group practices 5

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1861222580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22356 CHEROKEE ROSE PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393111",
            "telephone_number": "813-537-8710",
            "fax_number": "813-537-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22356 CHEROKEE ROSE PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393111",
            "telephone_number": "813-469-4215",
            "fax_number": "813-537-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "OLUWAKEMI",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11034528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.