Khazen Athletikare, LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000157569 Issued in MO

Legal business name

KHAZEN ATHLETIKARE, LLC

Practice address

11892 Wexford Place Dr
Maryland Heights, MO 63043-1763

Phone

(314) 368-9772

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Lori Allison Khazen, MS ATC, CSCSNPI 1932318714

Title

Owner

Phone

(314) 368-9772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Allison Khazen, MS ATC, CSCS

  • Athletic Trainer
  • Maryland Heights, MO
  • NPI 1932318714
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487863254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11892 WEXFORD PLACE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431763",
            "telephone_number": "314-368-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11892 WEXFORD PLACE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431763",
            "telephone_number": "314-368-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAZEN ATHLETIKARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAZEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-368-9772",
        "authorized_official_credential": "MS ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2000157569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaisha Keith, LPC , LCPC
• Harriet Ann Keller, OTR
• Brian J. Kelly, M.D.
• Deborah Lynn Kern, LCSW
• Jessica Ann Kesterson, FNP-BC
• Lori Allison Khazen, MS ATC, CSCS
• Sal Khondaker
• Leslie Kinder, OD
• Malcolm Koldin, M.D.
• Donald Scott Kreidler, D.C.

• Athletic Trainer in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.