Active NPI
Ann Clare Thachil
- Family Nurse Practitioner
- Fresno, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1055179
- Practice address
- 4919 Natchez Trce
Fresno, TX 77545-0017 - Phone
- (563) 505-1935
- NPI assigned
- Oct 24, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1055179 | TX | Primary |
Addresses
Primary practice location
4919 Natchez Trce
Fresno, TX 77545-0017
Mailing address
4919 Natchez Trce
Fresno, TX 77545-0017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 W Adoue St
Alvin, TX 77511-2718
19701 Kingwood Dr
BLDG 2
Kingwood, TX 77339-3773
8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055179 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F. Austin Community Health Center, Inc. | Current | Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current | Accepting new patients | |
| Houston Regional Gastroenterology Institute PLLC | Current | Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
219 Oak Dr S
#A
Lake Jackson, TX 77566
Phone (979) 297-4033
219 Oak Dr S
Lake Jackson, TX 77566
Phone (979) 297-4033
Interoperability endpoints
- https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Sugar Land, TX
- NPI 1326587643
-
- Federally Qualified Health Center (FQHC)
- Alvin, TX
- NPI 1578730818
-
- Federally Qualified Health Center (FQHC)
- Bacliff, TX
- NPI 1962986562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1225906142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4919 NATCHEZ TRCE",
"city": "FRESNO",
"state": "TX",
"postal_code": "775450017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4919 NATCHEZ TRCE",
"city": "FRESNO",
"state": "TX",
"postal_code": "775450017",
"telephone_number": "563-505-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACHIL",
"first_name": "ANN CLARE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1055179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.