Individual provider Active NPI

Julie Khanna, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westbury, NY
National Provider Identifier
1003659558
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404947 Issued in NY
Practice address
1400 Old Country Rd Ste 200a
Westbury, NY 11590-5112
Phone
(833) 350-8255
Fax
(516) 345-4426
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404947 NY Primary

Addresses

Primary practice location

1400 Old Country Rd Ste 200a
Westbury, NY 11590-5112

Mailing address

PO Box 8202
Hicksville, NY 11802-0506
Phone (833) 350-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001752 NY Practitioner - Nurse Practitioner 8527501246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sr Medical Services PLLCGroup PAC ID 2668832379, 11 clinicians

Practice addresses (Care Compare)

1400 Old Country Rd
Suite 200a
Westbury, NY 11590-5112
Phone (833) 350-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404947NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sr Medical Services PLLC CurrentSince Jun 14, 2024 Accepting new patients
Charles Evans Center, Inc. Current Accepting new patients
Charles Evans Center, Inc CurrentSince Nov 10, 2025 Accepting new patients
Charles Evans Center, Inc CurrentSince Nov 10, 2025 Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

113 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 622-8888

1400 Old Country Rd
Ste 200A
Westbury, NY 11590
Phone (833) 350-8255

1400 Old Country Rd
Ste 103
Westbury, NY 11590

1400 Old Country Rd
Ste 103N
Westbury, NY 11590
Phone (516) 346-5268

Interoperability endpoints

  • Direct secure messaging: communityminds.juliekhanna@160687.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1003659558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8202",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118020506",
            "telephone_number": "833-350-8255",
            "fax_number": "516-345-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE 200A",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905112",
            "telephone_number": "833-350-8255",
            "fax_number": "516-345-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.