Ageless U Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AGELESS U INC

Practice address

3648 Old Denton Rd Ste 110
Carrollton, TX 75007-7980

Phone

(214) 387-1888

Fax

(214) 387-1889

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheeba Mathai, FNP

Title

Owner

Phone

(214) 387-1888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1871201095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 PONY AVE",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104970",
            "telephone_number": "214-387-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 OLD DENTON RD STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750077980",
            "telephone_number": "214-387-1888",
            "fax_number": "214-387-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS U INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-387-1888",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.