Fatima Khadar, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPP 37444 Issued in RI

Practice address

1070 N Main St
Providence, RI 02904-5709

Phone

(401) 454-3574

Fax

(401) 455-3624

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

Yes

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 RI

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.

• Elite Medical Center LLC

  • Primary Care Nurse Practitioner
  • North Providence, RI
  • NPI 1902557366
  Medicare reassignment NPD
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1265612725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045709",
            "telephone_number": "401-455-3574",
            "fax_number": "401-455-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045709",
            "telephone_number": "401-454-3574",
            "fax_number": "401-455-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADAR",
        "first_name": "FATIMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP 37444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin E. Baill MD & Associates, LLC
• Kevin S. Palumbo, MD, Inc.
• Allan Kevorkian, RN
• Key Program, Inc.
• Keystone Family Acupuncture, Inc.
• Sari Safaa Khaleel, M.D.
• Saman Khalid, LMHC
• Zain Khalid, M.D.
• Mostafa Zakaria Khalil
• Aisha Khan

• Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.