Active NPI
Sidrah M Khan, FNP
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F09210533
- Practice address
- 1920 L St NW Ste 350
Washington, DC 20036-5072 - Phone
- (916) 267-7947
- Fax
- (240) 403-7893
- NPI assigned
- Aug 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09210533 | VA | |
| Family Nurse Practitioner | 363LF0000X | F09210533 | DC | Primary |
Addresses
Primary practice location
1920 L St NW Ste 350
Washington, DC 20036-5072
Mailing address
1920 L St NW Ste 350
Washington, DC 20036-5072
Phone (202) 296-4002
Other practice location 1
75 W Lee Hwy
Warrenton, VA 20186-2149
Phone (540) 351-0662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09210533 | DC | MD | Family Nurse Practitioner |
| F09210533 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
8644 Sudley Rd
#220
Manassas, VA 20110
75 W Lee Hwy
Warrenton, VA 20186
Phone (540) 347-4757
14900 Potomac Town Pl
Ste 110
Woodbridge, VA 22191
Phone (540) 351-0662
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
DC
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1073280434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 L ST NW STE 350",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365072",
"telephone_number": "202-296-4002",
"fax_number": "240-403-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 L ST NW STE 350",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365072",
"telephone_number": "916-267-7947",
"fax_number": "240-403-7893"
}
],
"practiceLocations": [
{
"address_1": "75 W Lee Hwy",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201862149",
"country_code": "US",
"telephone_number": "540-351-0662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SIDRAH",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "F09210533",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "F09210533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.