KATTIE KHADAR (NPI# 1740763093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740763093 |
| Entity Type | Individual |
| Full Name | KATTIE KHADAR |
| Credential | DNP, CRNP-FAMILY |
| Practice Address |
8901 Wisconsin Avenue Bethesda MD 20814 |
| Mailing Address |
11212 Broad Green Drive Potomac MD 20854 |
| Practice Telephone | 3013198809 |
| Mailing Telephone | 2404815289 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R139841 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8901 WISCONSIN AVENUE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951088 | Daniel Ricardo Elizondo | Ophthalmology | 8901 Wisconsin Avenue, Bethesda, MD 20889-5000 | 2005-06-10 |
| 1801418439 | Walter Guillory II | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-05-18 |
| 1952920720 | Aditya Patel | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Military Medical Center, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1366094294 | Julia Lynn Collazo | Dentist | 8901 Wisconsin Avenue, Building 9, 2nd Floor, Bethesda, MD 20889 | 2019-07-11 |
| 1417410515 | Samuel Woodle | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Neurosurgery Residency, Bethesda, MD 20889 | 2019-04-08 |
| 1508328808 | Benjamin Ficke | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Medical Center, Bethesda, MD 20889-0001 | 2019-04-04 |
| 1528559945 | Jonathan David Vignali | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2018-05-21 |
| 1669974150 | Maria Park | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Pediatrics Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-03-01 |
| 1265933949 | Amanda Cain | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-02-27 |
| 1437688793 | Jonathan Bui | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1407454671 | Yasamin Baghaipour | Nurse Practitioner | 10115 Parkwood Dr, Bethesda, MD 20814-4033 | 2020-10-11 |
| 1174132682 | Touko Leuga | Nurse Practitioner | 6410 Rockledge Dr Ste 110, Bethesda, MD 20817-1825 | 2020-07-30 |
| 1073170346 | Tonya Lynn Jenkins | Nurse Practitioner | 10 Center Drive 3ne, Bethesda, MD 20892-0001 | 2019-05-22 |
| 1366909848 | Crystal Flowers | Nurse Practitioner | Bg 10-crc Rm 1-3750, 10 Center Dr, Bethesda, MD 20814 | 2019-02-21 |
| 1043718653 | Mahsa Motevalli | Nurse Practitioner | 8600 Old Georgetown Rd Fl 6, Bethesda, MD 20814 | 2018-01-29 |
| 1558806778 | Keshia C Thompson | Nurse Practitioner | National Institutes of Health Building 10, Room 2c145, Bethesda, MD 20892-1662 | 2016-12-23 |
| 1083160402 | Britanny Brooke Solarz | Nurse Practitioner | 10 Center Drive Building 10 2b46, Bethesda, MD 20892-0001 | 2016-08-26 |
| 1710333281 | Deirdre Fionna Angelastro | Nurse Practitioner | 4938 Saint Elmo Ave, Bethesda, MD 20814-6008 | 2016-05-13 |
| 1902262447 | Relia Atienza | Nurse Practitioner | National Institute of Br, 10 Center Drive, Bethesda, MD 20892-0001 | 2016-01-13 |
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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.