Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Racheal Korede

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295037380

Racheal Korede is a Nurse Practitioner in Santa Clara, California. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in California, New York, Oregon and Texas and 1 more.

Years since qualifying
2
Licensed in
CA, NY, OR, TX, WA
In the registry since
2010
Specialties on file
6
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Practice location Address checks out

5201 Great America Pkwy
Santa Clara, CA 95054-1122
Phone: (646) 201-8959
Fax: (631) 615-6081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Farmingdale Road, West Babylon, NY 11704 — (631) 321-8229

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95037990 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10035974 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 768437-1 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 407033 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 106080 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP70022172 (WA)

Record details

NPI number1295037380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2010
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1 Farmingdale Road, Building 1, West Babylon, NY 11704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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