Jipson Pillaveettil Joseph

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

825513 Issued in TX

Practice address

717 Stafford Springs Ave
Stafford, TX 77477-5562

Phone

(847) 929-9226

NPI assigned

May 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jipson Joseph Pillaveettil Former name

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1427469568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STAFFORD SPRINGS AVE",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 STAFFORD SPRINGS AVE",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775562",
            "telephone_number": "847-929-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JIPSON",
        "middle_name": "PILLAVEETTIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "825513",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.354286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIPSON",
            "last_name": "PILLAVEETTIL",
            "middle_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yolanda Margarita Jones
• Britany Jordan, RN
• Joseph Home Healthcare Services Inc.
• Harry M Joseph, DDS
• Jasmine Janae Joseph
• Jocobi Kamari Joseph, LVN
• Lakaila Joseph
• May Joana Joseph, RN
• Patricia Joseph
• Swapna Uday Joshi

• Registered Nurse in Stafford, TX
• Providers in Stafford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.