Sanaz Destiny Dokhan-Nejad

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024013619 Issued in NC

Practice address

1301 E Debbie LN Ste 102
Mansfield, TX 76063-3376

Phone

(815) 861-6392

NPI assigned

Jul 31, 2024

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sanaz Dokan Other name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carolina Blood and Cancer Care Associates, P.a.

  • Specialist
  • Rock Hill, SC
  • NPI 1013002013

  SC

  Medicare reassignment NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1245069814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633376",
            "telephone_number": "815-861-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOKHAN-NEJAD",
        "first_name": "SANAZ",
        "middle_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2024013619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANAZ",
            "last_name": "DOKAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• DL Pharmacy
• Levy T DO, D.D.S.
• Timothy C DO, D.D.S.
• Docjum Healthcare Services, Inc
• Doctx3 PLLC
• Donna Ellen Newsome
• Stephanie Dotson, LCSW
• Douglas P. Sinn, DDS, PA
• Doyle F Gallman DO PA
• Dr Pramesh Dave MD PA PLLC

• All providers in Mansfield, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.