Jisha Cherian Chacko, RN, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

712285 Issued in TX

Practice address

4206 N I 35
Denton, TX 76207-3441

Phone

(940) 382-6900

Fax

(940) 382-1005

NPI assigned

Apr 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

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.

• Star Medical Associates PLLC

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1457708315
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1073804944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 N I 35",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073441",
            "telephone_number": "940-382-6900",
            "fax_number": "940-383-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 N I 35",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073441",
            "telephone_number": "940-382-6900",
            "fax_number": "940-382-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106893",
            "country_code": "US",
            "telephone_number": "940-383-3444",
            "fax_number": "940-383-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Timber Ridge Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750345052",
            "country_code": "US",
            "telephone_number": "469-301-2300",
            "fax_number": "940-382-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "JISHA",
        "middle_name": "CHERIAN",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "712285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Francisco Ceja, M.D.
• Dorian Paola Cerrato, NP
• Daniel Ceske, MS, LPC, NCC
• Paul Cespedes, M.D.
• Cfma Denton PLLC
• Rosha Chadwick, R.PH.
• Chaidez Counseling Services PLLC
• Jose Manuel Chaidez
• Chris R Chambers, DO
• Lakysha Chambers

• Family Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.