Kayode J Wemimo, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10966 Issued in MN

Practice address

3601 Minnesota Dr Ste 170
Bloomington, MN 55435-5202

Phone

(612) 924-3807

NPI assigned

Feb 3, 2022

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Affinity of Hope Care Home

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
  • NPI 1265098339
  NPD Authorized official
• Stand Tall Healing Center

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
  • NPI 1376232041
  NPD Authorized official
• Mood & Mind Psychiatry Care Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, MN
  • NPI 1366131674
  Authorized official Same address or phone

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1932852449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21357 N LILES LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851389573",
            "telephone_number": "623-414-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 170",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-924-3807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 E Southern Ave Ste 2015",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852066213",
            "country_code": "US",
            "telephone_number": "623-414-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEMIMO",
        "first_name": "KAYODE",
        "middle_name": "J",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "268877",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Centers, PLLC
• Wellness Early Development
• Wellness Early Development
• Wellness Works
• William Wells, M.D.
• Madeline Hope Wencl, PA
• Heidi Wenger, M.S., CCC-SLP
• Anne Marie Werner-Dempsey, D.C.
• Nicholas Werth, PA-C
• Audra Ann Wessel, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.