Individual provider Active NPI

Folashade Tawakalitu Sosanya

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1982426490
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5021162 Issued in NC
Practice address
8404 Neuse Rapids Rd
Raleigh, NC 27616-7722
Phone
(240) 280-5422
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 5021162 NC Primary

Addresses

Primary practice location

8404 Neuse Rapids Rd
Raleigh, NC 27616-7722

Mailing address

8404 Neuse Rapids Rd
Raleigh, NC 27616-7722
Phone (240) 280-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250131001631 NC Practitioner - Nurse Practitioner 3779012075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opportunities Industrialization Center, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Jan 6, 2025 Accepting new patients

Locations

90 Guardian Ct
Rocky Mount, NC 27804
Phone (252) 212-3350

Organizations & group practices 2

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": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1982426490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 NEUSE RAPIDS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167722",
            "telephone_number": "240-280-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 NEUSE RAPIDS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167722",
            "telephone_number": "240-280-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSANYA",
        "first_name": "FOLASHADE",
        "middle_name": "TAWAKALITU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.