Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jismi Theeyattuveli, NP

Individual provider Registered Nurse · NPI 1285229534

Jismi Theeyattuveli, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2020, 6 years ago. Practices with Veracian Healthcare PLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

51 S 48th St
Mesa, AZ 85206-1250
Phone: (480) 832-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 254316 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 138064 (AZ)

Record details

NPI number1285229534
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Veracian Healthcare Plc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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