Individual provider Active NPI

Bethany Rife, M.D.

  • Pediatrics Physician
  • Tomball, TX
National Provider Identifier
1568699569
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P2526 Issued in TX
Practice address
455 School St
Suite 26
Tomball, TX 77375-4595
Phone
(281) 374-9700
Fax
(281) 370-8765
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P2526 TX Primary

Addresses

Primary practice location

455 School St
Suite 26
Tomball, TX 77375-4595

Mailing address

455 School St
Suite 26
Tomball, TX 77375-4595
Phone (281) 374-9700

Other names 1

  • Bethany Shoemaker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2526TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Center of NW Houston, P a Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJADA

Organizations & group practices 1

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1568699569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "SUITE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "SUITE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFE",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SHOEMAKER",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.