Individual provider Active NPI

Shazia Khan

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Dumfries, VA
National Provider Identifier
1710644935
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
0117006094 Issued in VA
Practice address
18005 Dumfries Shopping PLZ
Dumfries, VA 22026-2356
Phone
(703) 629-7625
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2279P1004X 0117006094 VA Primary

Addresses

Primary practice location

18005 Dumfries Shopping PLZ
Dumfries, VA 22026-2356

Mailing address

25501 Emerson Oaks Dr
Aldie, VA 20105-3125

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

State licenses

LicenseStateTypeSpecialty
0117006094VAMDPulmonary Diagnostics Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Diagnostics Inc Single Specialty PastSince Nov 28, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1710644935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25501 EMERSON OAKS DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18005 DUMFRIES SHOPPING PLZ",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262356",
            "telephone_number": "703-629-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAZIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "VA",
            "license": "0117006094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.