Active NPI
Nusheen Khan, APRN
- Family Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11004503
- Practice address
- 3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321 - Phone
- (561) 622-7661
- Fax
- (561) 622-4651
- NPI assigned
- Nov 13, 2019
- Last updated
- Mar 26, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11004503 | FL | Primary |
Addresses
Primary practice location
3345 Burns Rd Ste 302
Palm Beach Gardens, FL 33410-4321
Mailing address
1411 N Flagler Dr Ste 6800
West Palm Beach, FL 33401-3417
Phone (561) 832-0283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 NW 57TH CT
Suite 400
Miami, FL 33126-3292
18034 Samba LN
Boca Raton, FL 33496-4117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004503 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Current | Accepting new patients | |
| Claremedica Viking LLC | Current | Accepting new patients |
Locations
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
1000 NW 57th Ct
Ste 400
Miami, FL 33126
3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047
501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497
1411 N Flagler Dr
Ste 6800
West Palm Beach, FL 33401
Phone (561) 659-4004
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1992520118
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1053956037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 6800",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013417",
"telephone_number": "561-832-0283",
"fax_number": "561-832-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 BURNS RD STE 302",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104321",
"telephone_number": "561-622-7661",
"fax_number": "561-622-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NUSHEEN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11004503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.