Jeevan Thamban

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP141333 Issued in TX

Practice address

1901 Veterans Memorial Dr
Temple, TX 76504-7451

Phone

(254) 778-4811

NPI assigned

May 2, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1417512781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 W BELLFORT ST APT 1135",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981834",
            "telephone_number": "254-495-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VETERANS MEMORIAL DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "254-778-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMBAN",
        "first_name": "JEEVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigil Thomas Thaimuriyil
• Harsh Thakkar, DO
• Karishma Thakkar
• Ryan Safraz Thaliffdeen
• Anantha Lakshmi Thallapureddy, M.D.,
• Anita Thapa, FNP-C
• Namisha Thapa
• Scott Andrew Thayer, DDS
• The Bedding Express
• The National Medical Rentals, Inc.

• Primary Care Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.