Individual provider Active NPI

Farheen Irene Khan, APRN-RNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1497369219
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246773 Issued in AZ
Practice address
1720 E Boston St
Gilbert, AZ 85295-6226
Phone
(480) 745-3702
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN138124 AZ
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 246773 AZ Primary

Addresses

Primary practice location

1720 E Boston St
Gilbert, AZ 85295-6226

Mailing address

3534 E Kimball CT
Gilbert, AZ 85297-9429
Phone (480) 388-5569

Other practice location 1

2010 S Dobson Rd
Chandler, AZ 85286-7374
Phone (866) 389-2727

Other practice location 2

1610 E.Camel Back Rd
Phoenix, AZ 85016
Phone (602) 277-1727

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Network Health Information Exchange (HIE)
CONNECT URL Mail Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210319001398 AZ Practitioner - Nurse Practitioner 0648687533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lahodas PLLCGroup PAC ID 4789807280, 3 clinicians

Practice addresses (Care Compare)

1720 E Boston St
Gilbert, AZ 85295-6226
Phone (480) 745-3702

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lahodas PLLC Single Specialty CurrentSince Sep 15, 2021 Accepting new patients

Locations

1720 E Boston St
Gilbert, AZ 85295
Phone (281) 846-5587

1720 E Boston St
Ste 101
Gilbert, AZ 85295

Interoperability endpoints

  • Direct secure messaging: farheen.khan.1@7817.direct.athenahealth.com

Organizations & group practices 2

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1497369219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 E KIMBALL CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979429",
            "telephone_number": "480-388-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956226",
            "telephone_number": "480-745-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867374",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 E.Camel Back Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARHEEN",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "APRN-RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN138124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Network",
            "affiliation": "N",
            "endpointDescription": "Secure-Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure",
            "address_1": "3534 E Kimball Ct",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852979429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mail",
            "affiliation": "N",
            "endpointDescription": "Safe /encripted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "No protected information",
            "address_1": "3534 E Kimball Ct",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852979429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.