Individual provider Active NPI

Shahida Khan

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1316456247
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002602 Issued in NV
Practice address
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone
(702) 233-4950
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002602 NV Primary

Addresses

Primary practice location

2601 N Tenaya Way
Las Vegas, NV 89128-0427

Mailing address

5009 Forest Oaks Dr
Las Vegas, NV 89149-5709
Phone (702) 480-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20200122002090 NV Practitioner - Nurse Practitioner 2668807587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4919 W Craig Rd
Las Vegas, NV 89130-2730
Phone (725) 220-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Feb 1, 2021 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Dec 1, 2025 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Dec 1, 2025 Accepting new patients
Centerwell Senior Primary Care (NV) PC Past Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

4919 W Craig Rd
Las Vegas, NV 89130
Phone (725) 220-8706

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

2601 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-4950

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

Interoperability endpoints

  • Direct secure messaging: shahida.khan.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: shahida.khan.p5@direct.caremorewest.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1316456247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 FOREST OAKS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495709",
            "telephone_number": "702-480-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280427",
            "telephone_number": "702-233-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.