Active NPI
Khadijah Muhammad
- Certified Respiratory Therapist
- Lakeland, FL
National Provider Identifier
1275913238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT 15727
- Practice address
- 1894 Mahaffey Cir
Lakeland, FL 33811-4466 - Phone
- (917) 254-2554
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT 15727 | FL | Primary |
Addresses
Primary practice location
1894 Mahaffey Cir
Lakeland, FL 33811-4466
Mailing address
1894 Mahaffey Cir
Lakeland, FL 33811-4466
Phone (917) 254-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT 15727 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1275913238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1894 MAHAFFEY CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338114466",
"telephone_number": "917-254-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1894 MAHAFFEY CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338114466",
"telephone_number": "917-254-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHAMMAD",
"first_name": "KHADIJAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT 15727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.