Active NPI
Emily Khansari, FNP-BC
- Family Nurse Practitioner
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20543
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 12
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20543 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Signify Health, LLC | Current | 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
- 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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1326655986
Family, MS
-
- Nephrology Physician
- Brentwood, TN
- NPI 1336748300
AL, Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
Family, LA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
DC, KY, MI, OH, SC, VA, WV
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.