Jisha Mary Jose

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1034498 Issued in TX

Practice address

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777

Phone

(281) 358-1950

Fax

(281) 358-1923

NPI assigned

Mar 23, 2022

Last updated

Apr 27, 2022By 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAIACA
• Direct secure messaging: jisha.jose@hca9.eclinicaldirectplus.com

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.

• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment NPD
• Lieber-Moore Cardiology Associates PA

  dba Texas Cardiology Associates of Houston Dba

  • Cardiovascular Disease Physician
  • Kingwood, TX
  • NPI 1487669248
  Medicare reassignment NPD
• Surgical Specialists of Clear Lake PLLC

  • Surgery Physician
  • Webster, TX
  • NPI 1720263221
  NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1871242925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950",
            "fax_number": "281-358-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Peakwood Dr Ste 6C",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902903",
            "country_code": "US",
            "telephone_number": "183-229-9804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JISHA",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1034498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Dezeree Jones, COTA
• Niaja M Jones
• Thomas J Jones, CST/CSFA
• Wanda Jones, MS, ID, RD, PHARMD
• Alexandria Analise Jorgensen
• Joseph Malieto Heath MD
• Philmore Josley Joseph
• Journey to a New Path, PLLC
• Christopher Jove, RBT
• Joyful Soul LLC

• Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.