Jomy Jose, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP143849 Issued in TX

Practice address

2405 Stonewall St
Greenville, TX 75401-3349

Phone

(903) 454-3300

NPI assigned

Nov 14, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fernando M. Siles, MD, PLLC

  • Child & Adolescent Psychiatry Physician
  • Greenville, TX
  • NPI 1225377328
  NPD
• Julia Larsen PLCC, Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmersville, TX
  • NPI 1417598673
  NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1629613682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 YOSEMITE TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497516",
            "telephone_number": "469-426-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 STONEWALL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754013349",
            "telephone_number": "903-454-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JOMY",
        "credential": "APRN,  PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Faith Jones, LPC-A
• Caitlyn Jones, DC
• Gekita M Jordan, LPC
• Jason Terry Jordan, LPC
• Richard Jordan
• Jonathan Avery Juarez, O.D.
• Barry L Justice, MD
• JW Eye Associates, PLLC
• JW Psychiatry PLLC
• Karen Kaden Andre, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Greenville, TX
• Providers in Greenville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.