Rachele Ellice Khadjehturian, A.P.R.N., F.N.P.-B.C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

335894 Issued in NY

Practice address

170 Maple Ave Ste 309
White Plains, NY 10601-4714

Phone

(914) 220-0283

Fax

(914) 220-0288

NPI assigned

Jun 3, 2009

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rachele Davis Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Plains Physician Services PC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1124502687
  Medicare reassignment NPD
• Maple Medical, LLP

  • Cardiovascular Disease Physician
  • White Plains, NY
  • NPI 1417100298
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1407082506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BISHOP PL",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431833",
            "telephone_number": "914-500-8183",
            "fax_number": "914-259-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE STE 309",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014714",
            "telephone_number": "914-220-0283",
            "fax_number": "914-220-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADJEHTURIAN",
        "first_name": "RACHELE",
        "middle_name": "ELLICE",
        "name_prefix": "Ms.",
        "credential": "A.P.R.N., F.N.P.-B.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335894",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "335894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELE",
            "last_name": "DAVIS",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macaulay S Kerr, PA
• Kerry a Keely OD PC
• Richard David Kessler, L.M.H.C.
• Yanni Georgeos Kevas
• KGS Chiropractic PLLC
• Huma Khan, CNIM
• Michelle Ligaya Khan, OTR/L
• Emily Anastasia Khoshaboo, LMSW
• Andre Khoury-Yacoub, MD
• Nabil Khoury-Yacoub, MD

• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.