Khatren Ghanem, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN4413395 Issued in OH

Practice address

25812 Melibee Dr
Westlake, OH 44145-5459

Phone

(440) 666-0007

NPI assigned

Jun 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1730740630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25813 MELIBEE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455458",
            "telephone_number": "440-666-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25812 MELIBEE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455459",
            "telephone_number": "440-666-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "KHATREN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN4413395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "4413395",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geriatric Physician Assistants LLC
• Marla Gerrek, RN,CNP
• Krystal L Gesicki, LISW, LICDC
• Blen Getahun
• Marcos Ghali, PH.D., LPCC-S
• Yassin Ismat Ghanem, APRN, PMHNP
• Deborah M Ghazoul, MD
• Brooke Gibson, RBT
• Allise Giesel, LPCC
• Hayley Layne Giesige, BA

• General Practice Registered Nurse in Westlake, OH
• Providers in Westlake, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.