Smitha Biju John, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1156727 Issued in TX

Practice address

201 Oak Dr S Ste 102
Lake Jackson, TX 77566-5626

Phone

(979) 529-9050

NPI assigned

Apr 29, 2024

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

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

Accepts the Medicare-approved amount as payment in full

Group practices

Sunlight Behavioral Health LLCGroup PAC ID 6305255316, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sunlight Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1689256083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1083460216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EMBER BRANCH DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591107",
            "telephone_number": "864-208-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 102",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-529-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SMITHA",
        "middle_name": "BIJU",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1156727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalopy Shoppe, Inc (Praxair Healthcare Services)
• James D Fuchs, M.D.,P.a
• Janis a Wells (Life Rehab)
• Jana R Jernigan, LPC
• Beena George John, D.D.S.
• Brittany Michelle Johnson
• Juwairiyah Johnson, FNP-C
• Letriece Shanet Johnson, ACSW
• Tiffany Nicole Johnson, RD, LD
• Lucinda Johnstone, LPC, LCDC

• Psychiatric/Mental Health Nurse Practitioner in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.