SHYAMAZAN KHAN
NPI 1144192477
Nurse Practitioner - Psychiatric/Mental Health in Port Saint Lucie, FL

Q: What is Shyamazan Khan's NPI number?

The NPI number for Shyamazan Khan is 1144192477. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Shyamazan Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shyamazan Khan was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2025

1447 SW HERDER RD, PORT SAINT LUCIE, FL 34953(954) 552-3781 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shyamazan Khan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHYAMAZAN KHAN (NPI 1144192477) is an individual psychiatric/mental health provider in Port Saint Lucie, Florida, licensed in Florida (11039521) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1144192477

Entity TypeIndividual

Primary Taxonomy363LP0808X

Provider Legal NameSHYAMAZAN KHAN

Location Address1447 SW HERDER RDPort Saint Lucie, FL 34953-2269

Mailing Address1447 Sw Herder RdPort Saint Lucie, FL 34953-2269

Phone(954) 552-3781

Sole ProprietorYes

Enumeration DateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1144192477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11039521

1447 SW HERDER RD, Port Saint Lucie, FL 34953

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyamazan Khan's NPI number?

The NPI number for Shyamazan Khan is 1144192477. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Shyamazan Khan located?

Shyamazan Khan practices at 1447 SW Herder Rd, Port Saint Lucie, FL 34953. The listed phone number is (954) 552-3781.

What is Shyamazan Khan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shyamazan Khan was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.