Active NPI
Sally Koshy, RN, BSN
- Medical-Surgical Registered Nurse
- Garland, TX
National Provider Identifier
1962902981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 684185
- Practice address
- 2300 Marie Curie Dr
Garland, TX 75042-5706 - Phone
- (972) 487-5443
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 684185 | TX | Primary |
Addresses
Primary practice location
2300 Marie Curie Dr
Garland, TX 75042-5706
Mailing address
1317 Wigeon Way
Garland, TX 75043-2689
Phone (214) 680-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684185 | TX | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1962902981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 WIGEON WAY",
"city": "GARLAND",
"state": "TX",
"postal_code": "750432689",
"telephone_number": "214-680-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MARIE CURIE DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425706",
"telephone_number": "972-487-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHY",
"first_name": "SALLY",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "684185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.