Active NPI
Lisha S Gandhi, FNP
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP141076
- Practice address
- 779 Normandy St Ste 114
Houston, TX 77015-3441 - Phone
- (713) 453-8900
- Fax
- (718) 640-2713
- NPI assigned
- Apr 26, 2019
- Last updated
- Apr 26, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141076 | TX | Primary |
Addresses
Primary practice location
779 Normandy St Ste 114
Houston, TX 77015-3441
Mailing address
779 Normandy St Ste 114
Houston, TX 77015-3441
Phone (713) 453-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP141076 | Other | TX | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nucc@claimsmedinc.com |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 Katy Fwy
Suite 100
Houston, TX 77079-1902
Phone (281) 600-5000
11511 Katy Fwy 100
Houston, TX 77079-1902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141076 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes Relief Houston Westside Series, LLC | Current | Accepting new patients | |
| Diabetes Relief Houston Westside Series, LLC | Current | Accepting new patients | |
| Houston Kidney Specialists Center PLLC | Current | Accepting new patients | |
| Normandy Urgent Care Center PA | Past | Accepting new patients | |
| Normandy Urgent Care Center PA | Past | Accepting new patients |
Locations
850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281
21212 Northwest Fwy
Ste 205
Cypress, TX 77429
Phone (216) 702-4535
11511 Katy Fwy
Ste 100
Houston, TX 77079
Phone (281) 600-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infusion Therapy Clinic/Center
- Houston, TX
- NPI 1598352171
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1225914468
-
dba Imperial Valley Urgent Care Center
- General Practice Physician
- Houston, TX
- NPI 1407171077
-
dba Imperial Valley Urgent Care
- General Practice Physician
- Houston, TX
- NPI 1598128787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1629632427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 NORMANDY ST STE 114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770153441",
"telephone_number": "713-453-8900",
"fax_number": "718-640-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 NORMANDY ST STE 114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770153441",
"telephone_number": "713-453-8900",
"fax_number": "718-640-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "LISHA",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP141076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AP141076",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nucc@claimsmedinc.com",
"affiliation": "N",
"address_1": "779 Normandy St Ste 114",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770153441",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 26, 2019; 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.