Active NPI
Jubin Jacob
- Infection Control Registered Nurse
- Sugar Land, TX
National Provider Identifier
1154927408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infection Control Registered Nurse
- License
- 22136367
- Practice address
- 1550 First Colony Blvd
Sugar Land, TX 77479-4000 - Phone
- (832) 788-7456
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infection Control Registered Nurse | 163WI0600X | 22136367 | TX | Primary |
Addresses
Primary practice location
1550 First Colony Blvd
Sugar Land, TX 77479-4000
Mailing address
PO Box 2054
Sugar Land, TX 77487-2054
Phone (832) 788-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22136367 | TX | MD | Infection Control Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1154927408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2054",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774872054",
"telephone_number": "832-788-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 FIRST COLONY BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794000",
"telephone_number": "832-788-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "JUBIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "TX",
"license": "22136367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.