Sinu Paulose, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018690 Issued in IL

Practice address

8207 22ND Ave
Kenosha, WI 53143-6206

Phone

(262) 653-9286

NPI assigned

Jan 25, 2019

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1417411307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 GRACE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 22ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436206",
            "telephone_number": "262-653-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3819 Grace Ln",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600251230",
            "country_code": "US",
            "telephone_number": "224-659-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULOSE",
        "first_name": "SINU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Mahlandtbutts
• Joseph L Paukner, MD
• Paul G. Spottswood, M.D., S.C.
• Steven Thomas Paul, DPT, ATC
• Mary B Pauloni, L.P.N.
• Adam George Pavlakis, DPT
• Samantha Pawela
• Charles Edward Pechous III, DDS
• Michelle M Perantoni, PHARM.D
• Elizabeth Pereira, PHARMACIST

• Family Nurse Practitioner in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.