Active NPI
Rachel Khan, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95033793
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RNP325748 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 95033793 | CA | MD | Psychiatric/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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.