Individual provider Active NPI

Nashmia Khan

  • Marriage & Family Therapist
  • Coral Gables, FL
National Provider Identifier
1306249461
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3858 Issued in FL
Practice address
111 Majorca Ave Ste B
Coral Gables, FL 33134-4508
Phone
(954) 609-5712
NPI assigned
Oct 3, 2014
Reactivated
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Marriage & Family Therapist 106H00000X MT3858 FL Primary

Addresses

Primary practice location

111 Majorca Ave Ste B
Coral Gables, FL 33134-4508

Mailing address

111 Majorca Ave Ste B
Coral Gables, FL 33134-4508
Phone (954) 609-5712

Other practice location 1

500 Fairway Dr.
Ste102 Butterfly Effects LLC
Deerfield Beach, FL 33441
Phone (888) 880-9270

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

LicenseStateTypeSpecialty
MT3858FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1306249461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAJORCA AVE STE B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "954-609-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAJORCA AVE STE B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "954-609-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Fairway Dr.",
            "address_2": "Ste102 Butterfly Effects LLC",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "33441",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASHMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "deactivation_date": "2020-09-19",
        "reactivation_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.