Lillykutty J Jacob

Primary specialty

Orthopedic Registered NurseTaxonomy code 163WX0800X

License

753583 Issued in TX

Practice address

6411 Fannin St
Houston, TX 77030-1501

Phone

(713) 704-2150

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

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

Other identifiers 1

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1659836344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 RHODES CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595040",
            "telephone_number": "713-505-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-704-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LILLYKUTTY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "TX",
            "license": "753583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HEALTH SYSTEMS",
            "identifier": "913623317",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jensy Liz Jacob, PHARM D.
• Jessy Jacob, OD
• Joe Jacob, RN
• Joel John Jacob, MD
• Julie Don Jacob, PHARMD
• Lizy Jacob, OTA
• Manju Chittat Jacob, APRN
• Matteethra Chandy Jacob, M.D.
• Meenu Jacob, MD
• Praisy Jacob

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.