Individual provider Active NPI

Rachel Khan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1669273488
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95033793 Issued in CA
Practice address
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone
(310) 483-6816
NPI assigned
Mar 19, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP325748 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95033793 CA Primary

Addresses

Primary practice location

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245

Mailing address

2940 W Carson St Unit 241
Torrance, CA 90503-6089
Phone (310) 483-6816

Other practice location 1

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

Other practice location 2

3212 N Windsong Dr Ste 200
Prescott Valley, AZ 86314-2255
Phone (928) 583-1000

Other practice location 3

51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610
Phone (928) 583-1000

Other practice location 4

112 West Park Avenue
Ash Fork, AZ 86320
Phone (928) 583-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260514003831 CA Practitioner - Nurse Practitioner 3577032986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNP325748AZMDPsychiatric/Mental Health Nurse Practitioner
95033793CAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1669273488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W CARSON ST UNIT 241",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036089",
            "telephone_number": "310-483-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E CAMELBACK RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164245",
            "telephone_number": "310-483-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863053700",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3212 N Windsong Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Brian Mickelsen Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863263610",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 West Park Avenue",
            "address_purpose": "LOCATION",
            "city": "Ash Fork",
            "state": "AZ",
            "postal_code": "86320",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RACHEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP325748",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.