Individual provider Active NPI

Katrina Khatibi, BA

  • Case Manager/Care Coordinator
  • Miami, FL
National Provider Identifier
1740448984
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
592564198 Issued in FL
Practice address
3510 Biscayne Blvd
Suite 300
Miami, FL 33137-3840
Phone
(305) 576-1234
Fax
(305) 571-2020
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 592564198 FL Primary

Addresses

Primary practice location

3510 Biscayne Blvd
Suite 300
Miami, FL 33137-3840

Mailing address

3510 Biscayne Blvd
Suite 300
Miami, FL 33137-3840
Phone (305) 576-1234

Other identifiers 1

IdentifierTypeStateIssuer
692576600MedicaidFL

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
592564198FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1740448984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373840",
            "telephone_number": "305-576-1234",
            "fax_number": "305-571-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 BISCAYNE BLVD",
            "address_2": "SUITE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373840",
            "telephone_number": "305-576-1234",
            "fax_number": "305-571-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIBI",
        "first_name": "KATRINA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "592564198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692576600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.