Active NPI
Giftedhand Integrative Health & Behavioral Medicine, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1932054921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC
- Practice address
- 12423 Stoneboro CT
Fort Wayne, IN 46845-9570 - Phone
- (832) 578-4056
- Fax
- (260) 327-4551
- NPI assigned
- Mar 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olufunke Patience Momoh, DNP
- Title
- Managing Member
- Phone
- (317) 561-0525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
12423 Stoneboro CT
Fort Wayne, IN 46845-9570
Mailing address
12423 Stoneboro CT
Fort Wayne, IN 46845-9570
Phone (317) 561-0525
Other practice location 1
401 Broadway Ste 100
Tacoma, WA 98402-3900
Phone (317) 561-0525
Other practice location 2
3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251
Phone (832) 578-4056
Other names 1
- Giftedhand Primary & Behavioral Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Wayne, IN
- NPI 1750041216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1932054921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12423 STONEBORO CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459570",
"telephone_number": "317-561-0525",
"fax_number": "260-327-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12423 STONEBORO CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459570",
"telephone_number": "832-578-4056",
"fax_number": "260-327-4551"
}
],
"practiceLocations": [
{
"address_1": "401 Broadway Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984023900",
"country_code": "US",
"telephone_number": "317-561-0525",
"fax_number": "317-534-3215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3611 Branch Ave Ste 404",
"address_purpose": "LOCATION",
"city": "Temple Hills",
"state": "MD",
"postal_code": "207481251",
"country_code": "US",
"telephone_number": "832-578-4056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-04",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "MOMOH",
"authorized_official_first_name": "OLUFUNKE",
"authorized_official_middle_name": "PATIENCE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "317-561-0525",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Giftedhand Primary & Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.