Wardah Khan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22869 Issued in TN

Practice address

405 Steam Plant Rd # 102
Gallatin, TN 37066-3027

Phone

(615) 420-5390

Fax

(615) 549-1532

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Infectious Disease Associates, PCGroup PAC ID 8820133986, 3 clinicians

MTN Care, PLLCGroup PAC ID 0749528701, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Concord Infectious Disease Associates, PC

  • Infectious Disease Physician
  • Lebanon, TN
  • NPI 1083941512

  KY

  Medicare reassignment Care Compare group
• MTN Care, PLLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1881179844
  Medicare reassignment Care Compare group
• Dixie Infusion Clinic, LLC

  • Infusion Therapy Clinic/Center
  • Bowling Green, KY
  • NPI 1649947854
  NPD
• Dixie Infusion Clinic, LLC

  • Infusion Therapy Clinic/Center
  • Louisville, KY
  • NPI 1952809428
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sumner Regional Medical Center LLC

  • General Acute Care Hospital
  • Gallatin, TN
  • NPI 1447571658
  Care Compare affiliation

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063937670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1906",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371211906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STEAM PLANT RD # 102",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663027",
            "telephone_number": "615-420-5390",
            "fax_number": "615-549-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 W Baddour Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872513",
            "country_code": "US",
            "telephone_number": "615-420-5390",
            "fax_number": "615-549-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "WARDAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa S Kellogg, D.O.
• Michael Sean Kellogg, DO
• Samantha Jo Kelly
• Kellie Keown
• Savannah D Ketterer, PA-C
• Suzette Ann Denise Kilgore, M.D.
• Bora Kim, DMD
• Douglas Finn Kimbro
• Jeffrie C Kindred, DO
• Alton S King Jr., M.D.

• Family Nurse Practitioner in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.