Individual provider Active NPI

Furqan Khan, APRN ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Carrollton, TX
National Provider Identifier
1184065807
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP122466 Issued in TX
Practice address
1420 Valwood Pkwy Ste No170
Carrollton, TX 75006-8312
Phone
(972) 584-7616
Fax
(214) 853-5364
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP122466 TX Primary

Addresses

Primary practice location

1420 Valwood Pkwy Ste No170
Carrollton, TX 75006-8312

Mailing address

820 S Macarthur Blvd
Suite#105-281
Coppell, TX 75019-4216
Phone (972) 584-7616

Other names 1

  • Alex Khan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140130000773 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 5890922215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
AP122466TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Healthcare LLC Adult Health CurrentSince Jul 23, 2013 Accepting new patients
Delta Laboratories LLC PastSince Apr 29, 2021 Accepting new patients

Locations

1420 Valwood Pkwy
Ste 170
Carrollton, TX 75006
Phone (469) 834-0722

820 S MacArthur Blvd
Ste 105281
Coppell, TX 75019

13988 Diplomat Dr
Ste 100
Farmers Brnch, TX 75234
Phone (214) 919-2520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1184065807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD",
            "address_2": "SUITE#105-281",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "972-584-7616",
            "fax_number": "214-853-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 VALWOOD PKWY STE NO170",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750068312",
            "telephone_number": "972-584-7616",
            "fax_number": "214-853-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FURQAN",
        "credential": "APRN ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP122466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "KHAN",
            "credential": "APRN ACNS-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.