MRS. MISTY KHACHATRIAN (NPI# 1316481930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316481930 |
| Entity Type | Individual |
| Full Name | MRS. MISTY KHACHATRIAN |
| Credential | CNIM |
| Practice Address |
3001 Bullock Dr Plano TX 75023-5615 |
| Practice Telephone | 2147254519 |
| Mailing Telephone | 2147254519 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
3589 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3001 BULLOCK DR |
| City | PLANO |
| State | TX |
| Zip Code | 75023-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
| 1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
| 1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
| 1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
| 1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
| 1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
| 1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
| 1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
| 1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
| 1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
| Find all providers in zip 75023 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431980 | Holly Elizabeth Yanelli | Specialist/Technologist, Other | 5000 Legacy Dr Ste 494, Plano, TX 75024-3120 | 2017-08-01 |
| 1598157372 | Michael Meerbrey | Specialist/Technologist, Other | 1602 Canadian Trl, Plano, TX 75023-4318 | 2015-03-03 |
| 1487045712 | Dewey Clay Brown | Specialist/Technologist, Other | 1410 14th Street, Plano, TX 75024-3100 | 2015-02-09 |
| 1033513130 | Neuron Shield Partners, Lp | Specialist/Technologist, Other | 4100 W 15th St Ste 208, Plano, TX 75093-5801 | 2014-10-17 |
| 1770987877 | Neuron Shield LLC | Specialist/Technologist, Other | 4100 W 15th St Ste 220, Plano, TX 75093-5801 | 2014-10-17 |
| 1104235985 | Jude Owolabi | Specialist/Technologist, Other | 6900 Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2014-08-06 |
| 1275773947 | Todd Robert Mann | Specialist/Technologist, Other | 5761 Bernay Ln, Plano, TX 75024-2905 | 2009-02-20 |
| 1114145232 | Lauren E Kovar | Specialist/Technologist, Other | 4100 W 15th St Ste 218, Plano, TX 75093-5801 | 2007-04-23 |
| 1568596377 | Steven M Semich | Specialist/Technologist, Other | 4100 W 15th St Ste 206, Plano, TX 75093-5801 | 2007-03-15 |
| 1780298950 | Whitney D. Howard | Specialist/Technologist, Other | 6860 Dallas Pkwy Ste 200, Plano, TX 75024-4242 | 2020-09-03 |
| Find all providers in PLANO | ||||
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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.