Active NPI
Cindy Khoury, NURSE
- Diabetes Educator Registered Nurse
- Ft. Defiance, AZ
National Provider Identifier
1053595884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- N32710
- Practice address
- Corner of Route N12&N07
Ft. Defiance, AZ 86504 - Phone
- (928) 729-8000
- Fax
- (928) 729-8158
- NPI assigned
- Dec 28, 2007
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | N32710 | ID | Primary |
Addresses
Primary practice location
Corner of Route N12&N07
Ft. Defiance, AZ 86504
Mailing address
PO Box 649
Corner of Route N12&N7
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N32710 | ID | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1053595884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"address_2": "CORNER OF ROUTE N12&N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000",
"fax_number": "928-729-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12&N07",
"city": "FT. DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8000",
"fax_number": "928-729-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "CINDY",
"name_prefix": "Ms.",
"credential": "NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "ID",
"license": "N32710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.