MEDICARE: TAYLOR RAE POPLASKI PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11039541	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1074022	TX
3	163W00000X	Registered Nurse	949489	TX

General Provider Information

NPI Number	:	1790443208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR RAE POPLASKI PMHNP

Provider Business Mailing Address
First Line	:	26 TANAGER TRL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-4152
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 MONTROSE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4963
Country	:	US
Telephone Number	:	281-271-5898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2021
Last Update Date	:	01/21/2026

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