Individual provider Active NPI

Joshua Oluwasegun Jaiyesimi, LVN

  • Licensed Vocational Nurse
  • Sugar Land, TX
National Provider Identifier
1548748551
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
321913 Issued in TX
Practice address
11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757
Phone
(281) 238-8775
NPI assigned
Aug 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 321913 TX Primary

Addresses

Primary practice location

11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757

Mailing address

3505 W Sam Houston Pkwy S Apt 1313
Houston, TX 77042-2089
Phone (786) 326-0535

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
321913TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Home Health Holdings, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1548748551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 W SAM HOUSTON PKWY S APT 1313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422089",
            "telephone_number": "786-326-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 UNIVERSITY BLVD STE 2M",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794757",
            "telephone_number": "281-238-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIYESIMI",
        "first_name": "JOSHUA",
        "middle_name": "OLUWASEGUN",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "321913",
            "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 Aug 1, 2018; 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.