Individual provider Active NPI

Katherine Ann Khavari, RN

  • Community Health Registered Nurse
  • Frisco, CO
National Provider Identifier
1770775066
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
150324 Issued in CO
Practice address
360 Peak One Drive
Suite 230
Frisco, CO 80443-2280
Phone
(970) 668-9161
Fax
(970) 668-4115
NPI assigned
Aug 10, 2007
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 150324 CO Primary

Addresses

Primary practice location

360 Peak One Drive
Suite 230
Frisco, CO 80443-2280

Mailing address

PO Box 2280
360 Peak One Drive - Suite 230
Frisco, CO 80443-2280
Phone (970) 668-9161

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
150324COMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Summit County Public Health Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1770775066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2280",
            "address_2": "360 PEAK ONE DRIVE - SUITE 230",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804432280",
            "telephone_number": "970-668-9161",
            "fax_number": "970-668-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DRIVE",
            "address_2": "SUITE 230",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804432280",
            "telephone_number": "970-668-9161",
            "fax_number": "970-668-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVARI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "150324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.