MANJU CHITTAT JACOB (NPI# 1447637988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447637988 |
| Entity Type | Individual |
| Full Name | MANJU CHITTAT JACOB |
| Practice Address |
1206 Boulderwoods Dr Houston TX 77062-2012 |
| Practice Telephone | 8326892799 |
| Mailing Telephone | 8326892799 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127532 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184129868 | Manju Jacob | Dentist | 803 Estelle Dr, Lancaster, PA 17601-2130 | 2018-03-26 |
| 1023140936 | Manju Jacob | Dietitian, Registered | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2007-03-09 |
| Street Address |
1206 BOULDERWOODS DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77062-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
| 1457839516 | Providence Clearlake Specialty Hospital LLC | Special Hospital | 1351 Clearlake City Blvd, Houston, TX 77062 | 2018-08-01 |
| 1669977468 | Distinct Abilities Academic Preschool, LLC | Occupational Therapist | 14045 Space Center Blvd., Houston, TX 77062 | 2018-03-26 |
| 1568984128 | Sydney Ann Hayes | Specialist/Technologist | 15818 Seahorse Dr., Houston, TX 77062 | 2017-07-14 |
| 1114389509 | Jts Express Transportation Services, LLC | Private Vehicle | 806 Oak Harbor Drive, Houston, TX 77062 | 2016-03-24 |
| 1609269505 | Lauren Amilcar | Pharmacist | 16590 El Camilo Real, Houston, TX 77062 | 2015-03-17 |
| 1457609000 | Marilyn Ann Straitwell | Registered Nurse | 2323 Clear Lake City Blvd., Suite 180-213, Houston, TX 77062 | 2012-08-29 |
| 1447537477 | Julie H Du | Dentist | 2323 Clear Lake City Blvd. #140, Houston, TX 77062 | 2011-11-04 |
| 1437488756 | Yolanda Franklin | Massage Therapist | 16646 La Avenida Dr., Houston, TX 77062 | 2009-12-16 |
| 1992034391 | Phuong-anh 'christy' Nguyen | Nurse Practitioner | 14642 St. Cloud, Houston, TX 77062 | 2009-12-14 |
| Find all providers in zip 77062 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.