Individual provider Active NPI

Shyja Karavateputhoor Paulose

  • Registered Nurse
  • Manvel, TX
National Provider Identifier
1386580272
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1114521 Issued in TX
Practice address
5012 Blooming Hibiscus LN
Manvel, TX 77578-2176
Phone
(562) 367-6362
NPI assigned
Apr 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1114521 TX Primary

Addresses

Primary practice location

5012 Blooming Hibiscus LN
Manvel, TX 77578-2176

Mailing address

5012 Blooming Hibiscus LN
Manvel, TX 77578-2176
Phone (562) 367-6362

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

LicenseStateTypeSpecialty
1114521TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1386580272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 BLOOMING HIBISCUS LN",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782176",
            "telephone_number": "562-367-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 BLOOMING HIBISCUS LN",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782176",
            "telephone_number": "562-367-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULOSE",
        "first_name": "SHYJA",
        "middle_name": "KARAVATEPUTHOOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1114521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.