MS. LANA HUSSEIN KHATIB (NPI# 1154671238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154671238 |
Entity Type | Individual |
Full Name | MS. LANA HUSSEIN KHATIB |
Credential | PA-C |
Practice Address |
15410 S Mountain Pkwy Suite 105 Phoenix AZ 85044-6691 |
Mailing Address |
1343 N Alma School Rd Ste 160 Chandler AZ 85224-5901 |
Practice Telephone | 4805887564 |
Practice Fax Number | 4803745210 |
Mailing Telephone | 4805887564 |
Mailing Fax Number | 4803745210 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2016-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5212 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
15410 S MOUNTAIN PKWY SUITE 105 |
City | PHOENIX |
State | AZ |
Zip Code | 85044-6691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570931 | Lynsey Schmidt | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2005-07-01 |
1730557620 | Benjamin Kagen | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2015-09-09 |
1245648088 | Mlm Family LLC | Physician Assistant | 15410 S Mountain Pkwy, Suite 105, Phoenix, AZ 85044-6691 | 2014-07-24 |
1538508171 | Jordan Robert Brocker | Physical Therapist | 15410 S Mountain Pkwy, #112, Phoenix, AZ 85044-6691 | 2013-06-17 |
1265787634 | Michael K Heinrich | Physical Therapist | 15410 S Mountain Pkwy, 112, Phoenix, AZ 85044-6691 | 2012-07-20 |
1750666426 | Kaitlin T Clark | Physical Therapist | 15410 S Mountain Pkwy, Ste: 112, Phoenix, AZ 85044-6691 | 2011-10-13 |
1841513124 | Veronica Jo Shaw | Specialist/Technologist | 15410 S Mountain Pkwy, Ste 112, Phoenix, AZ 85044-6691 | 2010-03-01 |
1578891800 | Richard Edmond Kates | Emergency Medical Technician, Basic | 15410 S Mountain Pkwy, Phoenix, AZ 85044-6691 | 2009-11-24 |
1710064118 | Tess G Bowden | Physical Therapy Assistant | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
1013094473 | Robert J. Henert | Physical Therapist | 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 | 2006-11-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
Find all providers in zip 85044 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.