Individual provider Active NPI

Lisha S Gandhi, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629632427
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141076 Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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 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

IdentifierTypeStateIssuer
AP141076OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711003325 TX Practitioner - Nurse Practitioner 0840670642 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
AP141076TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Relief Houston Westside Series, LLC CurrentSince Jun 23, 2023 Accepting new patients
Diabetes Relief Houston Westside Series, LLC CurrentSince Jun 23, 2023 Accepting new patients
Houston Kidney Specialists Center PLLC CurrentSince Jul 1, 2022 Accepting new patients
Normandy Urgent Care Center PA Past Accepting new patients
Normandy Urgent Care Center PA PastSince Nov 1, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.