Individual provider Active NPI

Ololade Lajuwomi, APRN

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1750255444
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1218694 Issued in TX
Practice address
11331 N Sam Houston Pkwy E
Humble, TX 77396-4598
Phone
(281) 459-9181
NPI assigned
Oct 3, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1218694 TX Primary

Addresses

Primary practice location

11331 N Sam Houston Pkwy E
Humble, TX 77396-4598

Mailing address

15616 Vermillion Dr
Edmond, OK 73013-9148

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260112000379 TX Practitioner - Nurse Practitioner 4587140322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12430 Seybold Cove Dr
Houston, TX 77044-2376

15616 Vermillion Dr
Edmond, OK 73013-9148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1218694TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imd Healthcare and Imaging Multi-Specialty CurrentSince Dec 31, 2025 Accepting new patients

Locations

11331 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 459-9181

19424 McKay Dr
Humble, TX 77338
Phone (281) 319-4060

Organizations & group practices 1

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1750255444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15616 VERMILLION DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964598",
            "telephone_number": "281-459-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJUWOMI",
        "first_name": "OLOLADE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1218694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.