Active NPI
Ashley Renee Gibson, MD
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S1104
- Practice address
- 6410 Fannin St Ste 1425
Houston, TX 77030-5305 - Phone
- (713) 500-7840
- Fax
- (713) 500-0711
- NPI assigned
- Mar 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | S1104 | TX | Primary |
| Child Abuse Pediatrics Physician | 2080C0008X | S1104 | TX |
Addresses
Primary practice location
6410 Fannin St Ste 1425
Houston, TX 77030-5305
Mailing address
6410 Fannin St Ste 1425
Houston, TX 77030-5305
Phone (713) 500-7840
Other practice location 1
1 Baylor Plz # Bcm320
Department of Pediatrics
Houston, TX 77030-3411
Phone (812) 430-8568
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1104 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6410 Fannin St
Ste 1425
Houston, TX 77030
Phone (713) 500-6040
6410 Fannin St
Ste 825
Houston, TX 77030
Phone (713) 500-7840
Organizations & group practices 2
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": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1316309560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1425",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305305",
"telephone_number": "713-500-7840",
"fax_number": "713-500-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1425",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305305",
"telephone_number": "713-500-7840",
"fax_number": "713-500-0711"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz # Bcm320",
"address_2": "Department of Pediatrics",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "812-430-8568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "ASHLEY",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S1104",
"primary": true
},
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "TX",
"license": "S1104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.