Individual provider Active NPI

Gabrielle Gloria Tardieu, MD

  • Pediatrics Physician
  • Amarillo, TX
National Provider Identifier
1932621182
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S7151 Issued in TX
Practice address
1500 S Coulter St Ste 1
Amarillo, TX 79106-1787
Phone
(806) 354-0404
Fax
(806) 354-2810
NPI assigned
Jul 10, 2017
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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 S7151 TX Primary

Addresses

Primary practice location

1500 S Coulter St Ste 1
Amarillo, TX 79106-1787

Mailing address

1500 S Coulter St Ste 1
Amarillo, TX 79106-1787
Phone (806) 354-0404

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818001438 TX Practitioner - Pediatric Medicine 0648541326 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S7151TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regence Health Network Inc CurrentSince Oct 1, 2020 Accepting new patients
FMC Medical Foundation, Inc Pediatrics CurrentSince Oct 1, 2025 Accepting new patients
Regence Health Network Inc Current Accepting new patients
FMC Medical Foundation, Inc. Pediatrics CurrentSince Oct 1, 2025 Accepting new patients
Regence Health Network Inc CurrentSince Oct 1, 2020 Accepting new patients
Regence Health Network Inc Past Accepting new patients

Locations

1500 S Coulter St
Ste 1
Amarillo, TX 79106
Phone (806) 354-0404

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

723 N Taylor St
Ste B
Amarillo, TX 79107
Phone (806) 345-7917

125 W Park Ave
Hereford, TX 79045
Phone (806) 364-4377

2601 Dimmitt Rd
Ste 104
Plainview, TX 79072
Phone (806) 291-0297

Interoperability endpoints

  • Direct secure messaging: gabrielle.tardieu.1@33715.direct.athenahealth.com

Organizations & group practices 6

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1932621182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S COULTER ST STE 1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061787",
            "telephone_number": "806-354-0404",
            "fax_number": "806-354-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S COULTER ST STE 1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061787",
            "telephone_number": "806-354-0404",
            "fax_number": "806-354-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIEU",
        "first_name": "GABRIELLE",
        "middle_name": "GLORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S7151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.