Active NPI
Shirin Khan Schilling, MD
- Psychiatry Physician
- Everett, WA
National Provider Identifier
1043573272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD60820863
- Practice address
- 12728 19TH Ave SE Ste 300
Everett, WA 98208-6526 - Phone
- (425) 252-1116
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60820863 | WA | Primary |
Addresses
Primary practice location
12728 19TH Ave SE Ste 300
Everett, WA 98208-6526
Mailing address
1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 259-4041
Other practice location 1
Uconn Medical Group
263 Farmington Avenue
Farmington, CT 06030-0001
Phone (860) 679-6700
Other names 1
- Dr. Shirin Khan
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 |
|---|---|---|---|
| MD60820863 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1043573272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 W MARINE VIEW DR STE 110",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012094",
"telephone_number": "425-259-4041",
"fax_number": "425-252-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 19TH AVE SE STE 300",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086526",
"telephone_number": "425-252-1116"
}
],
"practiceLocations": [
{
"address_1": "Uconn Medical Group",
"address_2": "263 Farmington Avenue",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300001",
"country_code": "US",
"telephone_number": "860-679-6700",
"fax_number": "860-679-6736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHILLING",
"first_name": "SHIRIN",
"middle_name": "KHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60820863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRIN",
"last_name": "KHAN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.