Individual provider Active NPI

Ololade Omokpo

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1447001508
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1180192 Issued in TX
Practice address
10900 Research Blvd
Austin, TX 78759-5722
Phone
(347) 295-6565
NPI assigned
Mar 28, 2024
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 95034935 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1180192 TX Primary

Addresses

Primary practice location

10900 Research Blvd
Austin, TX 78759-5722

Mailing address

1432 Da Vinci TRL
Leander, TX 78641-4246
Phone (347) 295-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20250401002499 TX Practitioner - Nurse Practitioner 7911420898 Reassigns benefits to 1 organization
I20260417002081 CA Practitioner - Nurse Practitioner 7911420898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12301 Wilshire Blvd
Suite 512
Los Angeles, CA 90025-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Hill Behavioral Healthcare PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients

Locations

2850 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 536-4552

Interoperability endpoints

  • Direct secure messaging: ololade.omokpo.1@9357.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1447001508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 DA VINCI TRL",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414246",
            "telephone_number": "347-295-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595722",
            "telephone_number": "347-295-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOKPO",
        "first_name": "OLOLADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034935",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1180192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.