Individual provider Active NPI

Christine Murdoch Khan, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114584729
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995896-NP Issued in CO
Practice address
1465 Kelly Johnson Blvd Ste 320
Colorado Springs, CO 80920-3947
Phone
(719) 495-3359
Fax
(719) 691-7003
NPI assigned
May 20, 2019
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995896-NP CO Primary

Addresses

Primary practice location

1465 Kelly Johnson Blvd Ste 320
Colorado Springs, CO 80920-3947

Mailing address

1465 Kelly Johnson Blvd Ste 305
Colorado Springs, CO 80920-3947
Phone (719) 495-3359

Other identifiers 1

IdentifierTypeStateIssuer
9000194991MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20210610000171 CO Practitioner - Nurse Practitioner 8224438460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1880 Office Club PT
Suite 245
Colorado Springs, CO 80920-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995896-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 6, 2021 Accepting new patients
Dr. Sarah Foxley, PLLC PastSince Jan 2, 2023 Accepting new patients

Locations

1465 Kelly Johnson Blvd
Ste 305
Colorado Springs, CO 80920
Phone (719) 362-0796

1465 Kelly Johnson Blvd
Ste 320
Colorado Springs, CO 80920
Phone (719) 495-3359

1880 Office Club Pt
Ste 245
Colorado Springs, CO 80920
Phone (520) 310-5265

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1114584729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203947",
            "telephone_number": "719-495-3359",
            "fax_number": "719-691-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 KELLY JOHNSON BLVD STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203947",
            "telephone_number": "719-495-3359",
            "fax_number": "719-691-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "CHRISTINE",
        "middle_name": "MURDOCH",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995896-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000194991",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.