Active NPI
Rachel May Anderson, MD
- Pediatrics Physician
- Amarillo, TX
National Provider Identifier
1871836619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q7831
- Practice address
- 1400 S Coulter St
Amarillo, TX 79106-1786 - Phone
- (806) 414-9800
- Fax
- (806) 354-5689
- NPI assigned
- Mar 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | Q7831 | TX | Primary |
Addresses
Primary practice location
1400 S Coulter St
Amarillo, TX 79106-1786
Mailing address
1400 Wallace Blvd
Amarillo, TX 79106-1708
Phone (806) 414-9800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200650150 A | Medicaid | OK | |
| 356404902 | Medicaid | TX | |
| 356404901 | Medicaid | TX | |
| 00688703 | Medicaid | NM |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 S Coulter St
Amarillo, TX 79106-1786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7831 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Amarillo | Pediatrics | Current | Accepting new patients |
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech Univeristy Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Past | Accepting new patients | |
| Northwest Texas Healthcare System Inc | Past | Accepting new patients |
Locations
1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
Interoperability endpoints
- rachelanderson@texastech.allscriptsdirect.net
- rachelanderson@ttuhsc.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1013942150
-
- Clinical Genetics (M.D.) Physician
- Lubbock, TX
- NPI 1457563744
-
- Pharmacy
- Lubbock, TX
- NPI 1609810977
-
- Surgery Physician
- Amarillo, TX
- NPI 1033144175
-
- Pediatrics Physician
- Amarillo, TX
- NPI 1386675940
-
- Physical Therapist
- Amarillo, TX
- NPI 1679841134
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1871836619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "806-414-9800",
"fax_number": "806-354-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061786",
"telephone_number": "806-414-9800",
"fax_number": "806-354-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RACHEL",
"middle_name": "MAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q7831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200650150 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356404902",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356404901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00688703",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.