Jothy Sajeev Poulose, RN, MSN, CPEN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN138115 Issued in AZ

Practice address

425 W Honeysuckle Dr
Chandler, AZ 85248-3974

Phone

(480) 751-8609

NPI assigned

Aug 15, 2023

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)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1891578696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W HONEYSUCKLE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483974",
            "telephone_number": "480-751-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W HONEYSUCKLE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483974",
            "telephone_number": "480-751-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOSE",
        "first_name": "JOTHY",
        "middle_name": "SAJEEV",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CPEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN138115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Potocki, ACNP
• Joy Kristen Potter, MS
• Pottermind Psychiatry
• Tabitha Potts, SLPA
• Annika Maria Poulin
• Tamara L Poulson, CRNA
• Daniel W Poupard, DC
• Andrea Powell, MAS-MFT
• Jason Powell
• Timothy Craig Powell, O.D.

• Registered Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.