Individual provider Active NPI

Ann M Natterer, MD

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1982784641
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K5951 Issued in TX
Practice address
6210 John Ryan Dr Ste 101
Fort Worth, TX 76132-4111
Phone
(817) 370-0840
Fax
(817) 370-8689
NPI assigned
Oct 17, 2006
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 K5951 TX Primary

Addresses

Primary practice location

6210 John Ryan Dr Ste 101
Fort Worth, TX 76132-4111

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

Other names 1

  • Ann Gendron Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anatterer15829@CookChildrens.direct-ci.com
Direct Messaging Address anatterer15829@CookChildrens.direct-ci.com

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
I20051116000809 TX Practitioner - Pediatric Medicine 6204855463 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics CurrentSince May 1, 2008 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince May 1, 2008 Accepting new patients
Cook Children's Medical Center Past Accepting new patients

Locations

1300 W Lancaster Ave
Ste 101
Fort Worth, TX 76102
Phone (817) 336-8611

6210 John Ryan Dr
Ste 101
Fort Worth, TX 76132
Phone (817) 370-0840

6210 John Ryan Dr
Ste 109
Fort Worth, TX 76132
Phone (817) 346-5437

1300 W Lancaster Ave
Ste 204
Ft Worth, TX 76102
Phone (682) 885-2170

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

Interoperability endpoints

  • Direct secure messaging: anatterer15829@cookchildrens.direct-ci.com

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1982784641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324111",
            "telephone_number": "817-370-0840",
            "fax_number": "817-370-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATTERER",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K5951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anatterer15829@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "6210 John Ryan Dr Ste 109",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761324111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anatterer15829@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "6210 John Ryan Dr Ste 101",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761324111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GENDRON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.