Carmencita Khan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 982202 Issued in FL

Practice address

1342 NW 168TH Ave
Pembroke Pines, FL 33028-1912

Phone

(954) 612-2505

Fax

(305) 243-5207

NPI assigned

Oct 23, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1588092944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 NW 168TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281912",
            "telephone_number": "954-612-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 NW 168TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281912",
            "telephone_number": "954-612-2505",
            "fax_number": "305-243-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "CARMENCITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 982202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Paul Kessler
• Jessica Ketterer, PH.D.
• Elia Khalaf
• Yaser Sorosh Khalid, DO
• Aneesa Khan, PHARMD
• Cheryl Lynn Khan, LCSW
• Samara Khan, MD
• Tanzeela Khan, M.D.
• Pramit Khatiwada
• Amy Madeline Kiamos, DO

• Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.