Individual provider Active NPI

Kendra Zabrina Khan, BA

  • Case Manager/Care Coordinator
  • New York, NY
National Provider Identifier
1942562475
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1301 5TH Ave
Northside Center for Child Development
New York, NY 10029-3119
Phone
(212) 426-3458
Fax
(917) 484-4433
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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 Primary

Addresses

Primary practice location

1301 5TH Ave
Northside Center for Child Development
New York, NY 10029-3119

Mailing address

1301 5TH Ave
Northside Center for Child Development
New York, NY 10029-3119
Phone (212) 426-3458

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

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1942562475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 5TH AVE",
            "address_2": "NORTHSIDE CENTER FOR CHILD DEVELOPMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293119",
            "telephone_number": "212-426-3458",
            "fax_number": "917-484-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 5TH AVE",
            "address_2": "NORTHSIDE CENTER FOR CHILD DEVELOPMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293119",
            "telephone_number": "212-426-3458",
            "fax_number": "917-484-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KENDRA",
        "middle_name": "ZABRINA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.