Active NPI
Luma Kharabsheh, M.D.
- Rheumatology Physician
- Dickson, TN
National Provider Identifier
1003099359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 60141
- Practice address
- 127 Crestview Park Dr
Dickson, TN 37055-2855 - Phone
- (615) 446-5121
- Fax
- (615) 446-1357
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10027682 | TX | MD | Internal Medicine Physician |
| 60141 | TN | MD | Rheumatology Physician |
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10027682 | TX | |
| Rheumatology Physician | 207RR0500X | 60141 | TN | Primary |
Addresses
Primary practice location
127 Crestview Park Dr
Dickson, TN 37055-2855
Mailing address
127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856
Phone (615) 446-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q004070 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1003099359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR STE 209",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552856",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552855",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARABSHEH",
"first_name": "LUMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10027682",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TN",
"license": "60141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q004070",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.