Sanam Khand Thakuri, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024000311 Issued in NC

Practice address

9705 Northeast Pkwy Ste 400
Matthews, NC 28105-9704

Phone

(704) 844-8971

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polyclinic Medical Center IncGroup PAC ID 3971569328, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Polyclinic Medical Center, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Matthews, NC
  • NPI 1821059650
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1548014384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 NORTHEAST PKWY STE 400",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059704",
            "telephone_number": "704-844-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 NORTHEAST PKWY STE 400",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059704",
            "telephone_number": "704-844-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAND THAKURI",
        "first_name": "SANAM",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2024000311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Keese
• Madysen Lynn Keller, PTA
• Meghan Dee Kelley, PT
• Stephanie D. Kemper, PSY.D.
• James R Kermes Jr., PHARM.D
• Reena Khetpal
• Jasjeet Singh Khural
• Brian Lamar Killian, DPM
• Kevin Lee Killian, DPM
• Virginia Reed Killoren, M.D.

• Family Nurse Practitioner in Matthews, NC
• Providers in Matthews, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.