TARA LEA OKULLO (NPI# 1568964104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568964104 |
Entity Type | Individual |
Full Name | TARA LEA OKULLO |
Credential | AGNP-C |
Practice Address |
1480 Katy Flewellen Rd Katy TX 77494-6662 |
Mailing Address |
7 Owls Cove Pl The Woodlands TX 77382-1109 |
Practice Telephone | 2813924338 |
Mailing Telephone | 6195040496 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP136830 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1480 KATY FLEWELLEN RD |
City | KATY |
State | TX |
Zip Code | 77494-6662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396727517 | Spanish Meadows of Katy Ltd | Skilled Nursing Facility | 1480 Katy Flewellen Rd, Katy, TX 77494-6349 | 2005-11-14 |
1629139407 | Mary L Williams | Nurse Practitioner | 1480 Katy Flewellen Rd, Katy, TX 77494-6631 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
Find all providers in zip 77494 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
1316432750 | Gwendoline Chuba | Nurse Practitioner | 26307 Sundown Cove Ln, Katy, TX 77494-2565 | 2018-06-28 |
1063838472 | Yu Wang | Nurse Practitioner | 2131 Enchanted Park Ln, Katy, TX 77450-7127 | 2014-03-10 |
1083264808 | Ashlyn Elyse Thom | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2019-09-13 |
1275186546 | Ashley Nicole Goar | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2019-07-16 |
1215493747 | Amanda Marie Zuber | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2019-02-20 |
1144639071 | Margaret Care Concierge Health Services Pllc | Nurse Practitioner | 5614 1st St, Katy, TX 77493-2411 | 2014-08-05 |
1538476387 | Theresa Jassim Jacob | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2010-08-31 |
1265744361 | Laura N Pedersen Foreman | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2010-07-06 |
1629139407 | Mary L Williams | Nurse Practitioner | 1480 Katy Flewellen Rd, Katy, TX 77494-6631 | 2006-12-13 |
Find all providers in KATY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.