Sophie W Khasacha, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

229581 Issued in TX

Practice address

10110 Walnut St
Dallas, TX 75243-5100

Phone

(469) 826-7475

NPI assigned

Feb 27, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1154822716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 WILSHIRE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 WALNUT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435100",
            "telephone_number": "469-826-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHASACHA",
        "first_name": "SOPHIE",
        "middle_name": "W",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "229581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arati Khanna, MD
• Shilpa Khanna, OTR
• Neha Bipin Khanolkar, DDS
• Veronika Kharaman
• Jason William Kharman, D.P.T.
• Hala Anwar Tawfiq Khasawneh, MD
• Sarabjit Kaur Khassa, D.D.S.
• Jude Khatib, M.D.
• Gaurav Khatri
• Shachi Khatri, D.D.S.

• Licensed Vocational Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.