Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Lea Okullo, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1568964104

Tara Lea Okullo, AGNP-C is a Nurse Practitioner in Katy, Texas. Qualified in 2015, 11 years ago. Practices with Collaborative Geriatrics Inc, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

24285 Katy Fwy Ste 300
Katy, TX 77494-1128
Phone: (346) 387-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24285 Katy Fwy Ste 300, Katy, TX 77494-1128 — (619) 504-0496

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP136830 (TX)

Record details

NPI number1568964104
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedFebruary 28, 2018
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Collaborative Geriatrics Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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