Individual provider Active NPI

Rachel Ann Cardi, PA-C

  • Medical Physician Assistant
  • Anthony, TX
National Provider Identifier
1811249386
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09345 Issued in TX
Practice address
8500 Doniphan Dr
Anthony, TX 79821-9346
Phone
(915) 791-9000
NPI assigned
Oct 9, 2012
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6489 GA
Medical Physician Assistant 363AM0700X PA09345 TX Primary

Addresses

Primary practice location

8500 Doniphan Dr
Anthony, TX 79821-9346

Mailing address

8500 Doniphan Dr
Anthony, TX 79821-9346
Phone (915) 791-9000

Other names 1

  • Ms. Rachel Ann Gutierrez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6489GAMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1811249386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 DONIPHAN DR",
            "city": "ANTHONY",
            "state": "TX",
            "postal_code": "798219346",
            "telephone_number": "915-791-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 DONIPHAN DR",
            "city": "ANTHONY",
            "state": "TX",
            "postal_code": "798219346",
            "telephone_number": "915-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDI",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6489",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GUTIERREZ",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthony, TX

Sources for this page

Verify at the official NPI Registry.