Nonna Khachiyan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2209 Issued in MA

Practice address

1030 President Ave Ste 306
Fall River, MA 02720-5923

Phone

(401) 751-7546

Fax

(401) 751-6888

NPI assigned

Dec 20, 2006

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 MA

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 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tristan Medical Enterprises PCGroup PAC ID 1153503297, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tristan Medical Enterprises PC

  • Family Medicine Physician
  • North Attleboro, MA
  • NPI 1538398326
  Medicare reassignment Care Compare group
• Surgical & Cosmetic Dermatology of Rhode Island, LLC

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
  • NPI 1770770547

  MA

  Medicare reassignment
• Skin Health Center Dermatology and Mohs Surgery PA

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1801973037
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1073677498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE STE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE STE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHIYAN",
        "first_name": "NONNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naron I Keo, M.D.
• Dorothy Elizabeth Keough, MSW, LICSW
• Jessica Leigh Kerensky, PA
• Lasalette Marie Kershaw
• Lorna Jean Ketin, LMHC
• Anila Khalid, D.M.D.
• Raymond B Khawand, MD
• Kids Dental Care of Fall River, PC
• Zia Kidwai, M.D.
• Thomas M Kiefer, M.D.

• Physician Assistant in Fall River, MA
• Providers in Fall River, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.