Individual provider Active NPI

Lola Popoola, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1922653013
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140113 Issued in TX
Practice address
28439 Tomball Pkwy
Tomball, TX 77375-3382
Phone
(281) 290-8188
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140113 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140113 TX Primary

Addresses

Primary practice location

28439 Tomball Pkwy
Tomball, TX 77375-3382

Mailing address

7324 Southwest Fwy
Ste 925
Houston, TX 77074-2025
Phone (713) 484-5105

Other practice location 1

8300 N LaMar Blvd Ste 200A
Austin, TX 78753-5976
Phone (737) 237-0129

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A

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
I20191004001057 TX Practitioner - Nurse Practitioner 5597096677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

8300 N Lamar Blvd
Suite 200a
Austin, TX 78753-5976
Phone (512) 782-9312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Psychiatry of Texas PLLC Family CurrentSince Dec 1, 2023 Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

2174 Spring Stuebner Rd
Spring, TX 77389
Phone (281) 697-4649

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1922653013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY",
            "address_2": "STE 925",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742025",
            "telephone_number": "713-484-5105",
            "fax_number": "713-988-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28439 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753382",
            "telephone_number": "281-290-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 N LaMar Blvd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787535976",
            "country_code": "US",
            "telephone_number": "737-237-0129",
            "fax_number": "512-782-9316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "LOLA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140113",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "28439 Tomball Pkwy",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773753382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.