Individual provider Active NPI

David Abiodun Oni, PMHNP-BC, PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Richland, WA
National Provider Identifier
1962176339
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
61212361 Issued in WA
Practice address
404 Bradley Blvd Ste Richland
Richland, WA 99352-4498
Phone
(509) 778-0005
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61212361 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202106873NP-PP OR

Addresses

Primary practice location

404 Bradley Blvd Ste Richland
Richland, WA 99352-4498

Mailing address

75604 E Reata Rd
Kennewick, WA 99338-8933
Phone (509) 778-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220428001695 WA Practitioner - Nurse Practitioner 1153718705 Reassigns benefits to 1 organization
I20241211001079 OR Practitioner - Nurse Practitioner 1153718705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Behavioral Home Health LLCGroup PAC ID 2062883119, 2 clinicians

Practice addresses (Care Compare)

145 SW 4TH St
Hermiston, OR 97838-1732
Phone (509) 778-0005

75604 E Reata Rd
Kennewick, WA 99338-8933
Phone (509) 919-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
202106873NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
61212361WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Home Health LLC Psychiatric/Mental Health CurrentSince Sep 11, 2022 Accepting new patients

Locations

145 SW 4th St
Hermiston, OR 97838
Phone (509) 778-0005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1962176339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75604 E REATA RD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993388933",
            "telephone_number": "509-778-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD STE RICHLAND",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524498",
            "telephone_number": "509-778-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "DAVID",
        "middle_name": "ABIODUN",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61212361",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202106873NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.