Jaya Aju Kattakayam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11039253 Issued in FL

Practice address

1723 S Kings Ave
Brandon, FL 33511-6220

Phone

(813) 681-4413

NPI assigned

Aug 12, 2025

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 names 1

• Jaya George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pulmonary Associates of Brandon PA

  • Pulmonary Disease Physician
  • Brandon, FL
  • NPI 1811932239
  NPD (past)

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1861378267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-681-4413",
            "fax_number": "813-681-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116220",
            "telephone_number": "813-681-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAKAYAM",
        "first_name": "JAYA",
        "middle_name": "AJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYA",
            "last_name": "GEORGE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mathew Joseph Karivelil
• Meghan Kaschak
• Arbab Furquan Ud Din Kasi, MD
• Omar Kassem, PHARMD
• Kathleen M. Carroll, M.D., P.a.
• Halide Kattan, MD
• Mazen Kattih, M.D.
• Jennifer Katz
• James Kavulich, DO
• Boris Kawliche, M.D.

• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.