Jasmine Hassan El Khatib, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2010021062 Issued in MO

Practice address

Community Health Center of Central Missouri
1511 Christy Drive
Jefferson City, MO 65101

Phone

(573) 632-2777

Fax

(573) 632-2769

NPI assigned

Jul 1, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jasmine.elkhatib.p1@direct.chccmo.nextgenshare.com

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.

• Community Health Ctr of Central Missouri

  • Federally Qualified Health Center (FQHC)
  • Linn, MO
  • NPI 1538213244
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1295046571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI",
            "address_2": "1511 CHRISTY DRIVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-632-2777",
            "fax_number": "573-632-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI",
            "address_2": "1511 CHRISTY DRIVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-632-2777",
            "fax_number": "573-632-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL KHATIB",
        "first_name": "JASMINE",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010021062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Echelmeyer, M.D.
• Jeffrey S Ehmke, D.O.
• Ashley Nicole Eidson, CCC-SLP
• Stephanie Eilers
• Kimberly Anne Eisenstein, M.D.
• Denean Lynn Elder, D.C.
• Eldercare of Mid-Missouri VII, Inc.
• Eldercare of Mid-Missouri VIII, Inc.
• Eldercare of Mid-Missouri X, Inc
• Madelyn Eldringhoff

• All providers in Jefferson City, MO
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.