Annelise Natasha Ribeiro, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P6255 Issued in TX

Practice address

675 Town Square Blvd BLDG 1a
Garland, TX 75040-2992

Phone

(903) 474-1983

Fax

(903) 496-0534

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Visiting Doctors LLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1710268305

  General Practice

  Medicare reassignment NPD
• Home Visiting Doctors Management LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1699076794
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499

  General Practice

  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1861671281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COUNTY ROAD 1503",
            "city": "ALBA",
            "state": "TX",
            "postal_code": "754102638",
            "telephone_number": "214-918-0037",
            "fax_number": "844-357-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "903-474-1983",
            "fax_number": "903-496-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "ANNELISE",
        "middle_name": "NATASHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P6255",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325375903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "P6255",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325375904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reyna Hernandez OD PA
• Betty Lou Reynolds, REGISTERED NURSE
• Kim Dee Reynolds, LMFT, LPC
• Ruby J Reynolds
• Shalecia Shuntel Reynolds, APRN, PMHNP-BC
• Richard Greiner Enterprises, Inc
• Ylicia Lachon Richards, M.D.
• Kyndra S Richardson, COTA/L
• Shona Richardson, OT
• Saul Diego Rico, PT

• Pediatrics Physician in Garland, TX
• Providers in Garland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.