Ajomol Kurisunkal Jose

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9225913 Issued in FL

Practice address

16194 NW 15TH St
Pembroke Pines, FL 33028-1220

Phone

(954) 559-2601

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1861963159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16194 NW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281220",
            "telephone_number": "954-559-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16194 NW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281220",
            "telephone_number": "954-559-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "AJOMOL",
        "middle_name": "KURISUNKAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9225913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Luna, DO
• Josbany Borrego Corp
• Jose D Dominguez DDS PA
• Jose Ernesto Betancourt Diaz MD PA
• Jose M Torres and Associates MD PA
• Elizabeth Jose, ARNP
• Joseph T Horgan MD PA
• Sabrina Joseph-Cherelus, PT
• Amiah Catherine Joseph
• Benzino Joseph

• Family Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Dec 11, 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.