Active NPI
Laquatre R. Rhodes, DO, MS
- Pediatric Gastroenterology Physician
- Prosper, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- T9023
- Practice address
- 4200 W University Dr
Prosper, TX 75078-9805 - Phone
- (682) 303-4200
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | T9023 | TX | Primary |
Addresses
Primary practice location
4200 W University Dr
Prosper, TX 75078-9805
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kputty185098@CookChildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Cooper St
Fort Worth, TX 76104-2710
Phone (682) 885-4007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T9023 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Medical Center | Past | Accepting new patients |
Locations
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500
4200 W University Dr
Prosper, TX 75078
Phone (682) 303-4200
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- kputty185098@cookchildrens.direct-ci.com
- lrhodes187180@cookchildrens.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1194169961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-6483",
"fax_number": "682-885-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W UNIVERSITY DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750789805",
"telephone_number": "682-303-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "LAQUATRE",
"middle_name": "R.",
"credential": "DO, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "T9023",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kputty185098@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "4200 W University Dr",
"city": "Prosper",
"state": "TX",
"country_code": "US",
"postal_code": "750789805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.