Individual provider Active NPI

Rachel Beth Gandre, MD

  • Pediatrics Physician
  • Tomball, TX
National Provider Identifier
1700192432
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N6873 Issued in TX
Practice address
455 School St Ste 26
Tomball, TX 77375
Phone
(281) 374-9700
NPI assigned
Aug 18, 2010
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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 N6873 TX Primary

Addresses

Primary practice location

455 School St Ste 26
Tomball, TX 77375

Mailing address

455 School St Ste 26
Tomball, TX 77375-4595
Phone (812) 374-9700

Other practice location 1

13211 Hargrave Rd
Houston, TX 77070-4311
Phone (281) 477-8660

Other practice location 2

14502 Cypress Mill Place Blvd Ste 100
Cypress, TX 77429-7300
Phone (281) 374-9700

Other practice location 3

19059 Champion Forest Dr Ste 101
Spring, TX 77379-8597
Phone (281) 374-9700

Other names 1

  • Ms. Rachel Beth Reese Former 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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6873TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Center of NW Houston, P a Pediatrics PastSince Aug 18, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJADA
  • Direct secure messaging: rachel.gandre@pacnwh.eclinicaldirectplus.com

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, 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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1700192432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "812-374-9700",
            "fax_number": "281-477-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-374-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13211 Hargrave Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704311",
            "country_code": "US",
            "telephone_number": "281-477-8660",
            "fax_number": "281-477-8662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14502 Cypress Mill Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774297300",
            "country_code": "US",
            "telephone_number": "281-374-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19059 Champion Forest Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773798597",
            "country_code": "US",
            "telephone_number": "281-374-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDRE",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "REESE",
            "middle_name": "BETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former 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 Aug 15, 2019; 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.