Tara Lea Okullo, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP136830 Issued in TX

Practice address

24285 Katy Fwy Ste 300
Katy, TX 77494-1128

Phone

(346) 387-7171

NPI assigned

Feb 28, 2018

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

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Missouri City, TX, CCN 679527
• Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058
• Allegiance Home Health Home health agency, Webster, TX, CCN 748116

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Collaborative Geriatrics Inc

  • Gerontology Nurse Practitioner
  • Katy, TX
  • NPI 1811088628
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allegiance Hospice LLC

  dba Allegiance Hospice

  • Community Based Hospice Care Agency
  • Webster, TX
  • NPI 1306416920

  Home health agency

  Care Compare affiliation
• Altus Home Health, LLC

  dba VitalCaring Group

  • Home Health Agency
  • Missouri City, TX
  • NPI 1194123521
  Care Compare affiliation
• Pros Home Healthcare, Inc

  dba Pathfinder Home Health

  • Home Health Agency
  • Woodlands, TX
  • NPI 1760495584
  Care Compare affiliation

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1568964104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24285 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941128",
            "telephone_number": "346-387-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24285 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941128",
            "telephone_number": "346-387-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24285 Katy Fwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774941128",
            "country_code": "US",
            "telephone_number": "619-504-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKULLO",
        "first_name": "TARA",
        "middle_name": "LEA",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinelo Ifeyinwa Okoye, MD
• Edna Okoye
• Princess Chioma Okoye
• Nikeisha Ann Okpara, M.D
• Priscilla Okpuzor
• Rebecca Okumah
• Ivie Bunmi Okundaye, LVN
• Funmilayo Okuseinde, PMHNP-BC, FNP-C
• Chibuifem Okwudili Uzor
• Bolaji Olabinjo

• Gerontology Nurse Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.