Individual provider Active NPI

Emily Khansari, FNP-BC

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1992176408
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20543 Issued in TN
Practice address
1040 N. James Campbell Blvd.
Ste. 108
Columbia, TN 38401
Phone
(615) 661-7888
Fax
(615) 661-9001
NPI assigned
Oct 9, 2015
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20543 TN Primary

Addresses

Primary practice location

1040 N. James Campbell Blvd.
Ste. 108
Columbia, TN 38401

Mailing address

PO Box 681508
Franklin, TN 37068-1508
Phone (615) 661-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, OH, MI, MS, LA, GA, WV, DC, VA, SC, KY12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20160223000752 TN Practitioner - Nurse Practitioner 9234434606
I20250328000827 AL Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 2 organizations
I20250708002875 OH Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20250714002854 MI Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20250715004390 MS Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20250918000323 LA Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20251016004796 GA Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20260116002442 WV Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20260326003667 DC Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20260331004677 VA Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20260427001837 SC Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization
I20260624004830 KY Practitioner - Nurse Practitioner 9234434606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20543TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Sep 8, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Jun 30, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Apr 15, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Aug 22, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: emily.khansari.2@22854.direct.athenahealth.com

Organizations & group practices 6

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1992176408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681508",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681508",
            "telephone_number": "615-661-7888",
            "fax_number": "615-661-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N. JAMES CAMPBELL BLVD.",
            "address_2": "STE. 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "615-661-7888",
            "fax_number": "615-661-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANSARI",
        "first_name": "EMILY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.