Active NPI
Jisha Jacob
- Maternal Newborn Registered Nurse
- Sugar Land, TX
National Provider Identifier
1447860853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 762332
- Practice address
- 6306 Falling Briar LN
Sugar Land, TX 77479-4487 - Phone
- (832) 353-4855
- NPI assigned
- Jul 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 762332 | TX | Primary |
Addresses
Primary practice location
6306 Falling Briar LN
Sugar Land, TX 77479-4487
Mailing address
6306 Falling Briar LN
Sugar Land, TX 77479-4487
Phone (832) 353-4855
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 |
|---|---|---|---|
| 762332 | TX | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1447860853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6306 FALLING BRIAR LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794487",
"telephone_number": "832-353-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6306 FALLING BRIAR LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794487",
"telephone_number": "832-353-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "JISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "TX",
"license": "762332",
"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 Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.