Jessy Shaju Aykara, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1132999 Issued in TX

Practice address

1127 Richards Dr
Friendswood, TX 77546-2877

Phone

(281) 881-9250

NPI assigned

Oct 11, 2023

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

Other names 1

• Jessy Kurian Mutholiyil Former name

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

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  • NPI 1912435793
  Medicare reassignment

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1053192435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 RICHARDS DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462877",
            "telephone_number": "281-881-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 RICHARDS DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462877",
            "telephone_number": "281-881-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYKARA",
        "first_name": "JESSY",
        "middle_name": "SHAJU",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1132999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSY",
            "last_name": "MUTHOLIYIL",
            "middle_name": "KURIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Auspice Counseling Services
• Austin Cheng DMD, PLLC
• Michael Joseph Austin, M.D.
• Autumn Oak Speech Voice and Hearing
• Leah Maxine Ayers, FNP-C
• Catherine Joann Babu, NP
• Back in Action Chiropractic
• Ronald Richard Baden, M.D.
• Joy Saturre Badiang
• Diane L Bailey, PH.D

• Acute Care Nurse Practitioner in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.