Agnes U Ololo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133617 Issued in TX

Practice address

3802 Stuart Dr
La Porte, TX 77571-3942

Phone

(281) 478-6096

Fax

(281) 478-6096

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1174050603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 STUART DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713942",
            "telephone_number": "281-478-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 STUART DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713942",
            "telephone_number": "281-478-6096",
            "fax_number": "281-478-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOLO",
        "first_name": "AGNES",
        "middle_name": "U",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schola Amoge Nwachukwu, M.D
• Stephanie L Nyberg, MS RDN LD
• Occupational Health Centers of the Southwest P.a.
• Occupational Medicine of la Porte P.a.
• Oculus Interest VI, LLC
• Cynthia Shelise Omauzo, PHARMD
• Mercy Otuomagie, RN
• Jessica Lane Packard
• Dilipkumar Chhotabhai Patel, M.D.
• Rakesh R Patel, M.D.

• Family Nurse Practitioner in La Porte, TX
• Providers in La Porte, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.