Individual provider Active NPI

Ann Clare Thachil

  • Family Nurse Practitioner
  • Fresno, TX
National Provider Identifier
1225906142
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055179 Issued in TX
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

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002886 TX Practitioner - Nurse Practitioner 7517447881 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
1055179TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Feb 1, 2026 Accepting new patients
Houston Regional Gastroenterology Institute PLLC CurrentSince Jan 20, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.