Active NPI
Hira Khan
- Behavior Technician
- Vienna, VA
National Provider Identifier
1881316289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641 - Phone
- (877) 504-4141
- NPI assigned
- Sep 13, 2022
- Last updated
- Sep 13, 2022
- 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
8230 Leesburg Pike Ste 740
Vienna, VA 22182-2641
Mailing address
17335 Nugent LN
Dumfries, VA 22026-3341
Phone (571) 320-0835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kruckner@behavioralhealthservices.net |
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
- kruckner@behavioralhealthservices.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1881316289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17335 NUGENT LN",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220263341",
"telephone_number": "571-320-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 LEESBURG PIKE STE 740",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822641",
"telephone_number": "877-504-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "HIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kruckner@behavioralhealthservices.net",
"affiliation": "N",
"address_1": "8230 Leesburg Pike Ste 740",
"city": "Vienna",
"state": "VA",
"country_code": "US",
"postal_code": "221822641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.