Active NPI
FM Healing Center, LLC
- Addiction Medicine (Family Medicine) Physician
- Richmond, KY
National Provider Identifier
1992180343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- FM HEALING CENTER, LLC
- Practice address
- 1042 Center Dr
Suite 100
Richmond, KY 40475-3838 - Phone
- (859) 575-1518
- Fax
- (502) 808-6077
- NPI assigned
- Jul 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sardar N Khan
- Title
- Managing Member
- Phone
- (561) 779-2123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 810478 | KY |
Addresses
Primary practice location
1042 Center Dr
Suite 100
Richmond, KY 40475-3838
Mailing address
1042 Center Dr Ste 100
Richmond, KY 40475-3838
Phone (859) 575-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100378250 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richmond, KY
- NPI 1003212515
-
- Counselor
- Richmond, KY
- NPI 1568861680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1992180343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 CENTER DR STE 100",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753838",
"telephone_number": "859-575-1518",
"fax_number": "502-808-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 CENTER DR",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753838",
"telephone_number": "859-575-1518",
"fax_number": "502-808-6077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FM HEALING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SARDAR",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "561-779-2123"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "KY",
"license": "810478",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100378250",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.