Active NPI
Tahrima Khanom
- Behavior Technician
- Okemos, MI
National Provider Identifier
1669909719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3887 Okemos Rd Ste A1
Okemos, MI 48864-3663 - Phone
- (313) 559-0864
- NPI assigned
- May 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3887 Okemos Rd Ste A1
Okemos, MI 48864-3663
Mailing address
1111 Parkdale St
Lansing, MI 48910-1835
Phone (313) 559-0864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- tkhanom722787@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495238400000",
"number": "1669909719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 PARKDALE ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489101835",
"telephone_number": "313-559-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3887 OKEMOS RD STE A1",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643663",
"telephone_number": "313-559-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANOM",
"first_name": "TAHRIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-20",
"last_updated": "2017-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.