Active NPI
Jofy S Kuriakose
- Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP117061
- Practice address
- 3300 Dallas Pkwy Ste 224
Plano, TX 75093-7771 - Phone
- (972) 573-3157
- Fax
- (855) 828-0878
- NPI assigned
- Dec 4, 2008
- Last updated
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP117061 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 760576 | TX |
Addresses
Primary practice location
3300 Dallas Pkwy Ste 224
Plano, TX 75093-7771
Mailing address
5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
115 N Loop 1604 E
1204 Texan Allergy
San Antonio, TX 78232-1399
Phone (512) 550-1800
3001 Knox St
Suite 407
Dallas, TX 75205-5594
Phone (512) 550-1800
7125 New Sanger Ave
504 Texan Allergy
Waco, TX 76712-4054
Phone (512) 550-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP117061 | TX | MD | Nurse Practitioner |
| 760576 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Texas PLLC | Family | Current | Accepting new patients |
| Sinus & Allergy Specialists of Texas | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Current | Accepting new patients | |
| Noble Anesthesia Partners, PLLC | Past | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
3001 Knox St
Ste 407
Dallas, TX 75205
1650 W Northwest Hwy
Ste 202
Grapevine, TX 76051
Phone (817) 552-0252
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
3300 Dallas Pkwy
Ste 224
Plano, TX 75093
Phone (469) 297-9579
115 N Loop 1604 E
Ste 1204
San Antonio, TX 78232
Phone (210) 446-0418
Organizations & group practices 4
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.
-
dba Aspire Allergy & Sinus
- Allergy & Immunology Physician
- Austin, TX
- NPI 1639510803
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
-
- Clinical Social Worker
- Katy, TX
- NPI 1740898188
-
- Anesthesiology Physician
- Irving, TX
- NPI 1619259553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1912142977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5929 BALCONES DR STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314280",
"telephone_number": "512-550-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DALLAS PKWY STE 224",
"city": "PLANO",
"state": "TX",
"postal_code": "750937771",
"telephone_number": "972-573-3157",
"fax_number": "855-828-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIAKOSE",
"first_name": "JOFY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2022-10-25",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP117061",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "760576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.