Individual provider Active NPI

Rebekah Moore, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1013807189
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1023435 Issued in TX
Practice address
1202 E Sonterra Blvd Ste 301
San Antonio, TX 78258-4090
Phone
(210) 352-5200
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1023435 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 301
San Antonio, TX 78258-4090

Mailing address

5250 Rogers Rd BLDG 2
San Antonio, TX 78251-3769
Phone (210) 325-5200

Other practice location 1

5250 Rogers Rd
San Antonio, TX 78251-3768
Phone (210) 352-5200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820000866 TX Practitioner - Nurse Practitioner 3375042971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

27511 Interstate 10 W BLDG 5
Furs Health Privia Medical Group G
Boerne, TX 78006-6564
Phone (210) 352-5200

5250 Rogers Rd
BLDG 2
San Antonio, TX 78251-3769
Phone (210) 352-5200

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1023435TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Aug 8, 2025 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

27511 Interstate 10 W
Bldg 5
Boerne, TX 78006
Phone (210) 352-5200

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

1202 E Sonterra Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 352-5200

5250 Rogers Rd
Bldg 2
San Antonio, TX 78251
Phone (210) 352-5200

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: rebekah.moore.1@8042.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1013807189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 ROGERS RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513769",
            "telephone_number": "210-325-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584090",
            "telephone_number": "210-352-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Rogers Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513768",
            "country_code": "US",
            "telephone_number": "210-352-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBEKAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1023435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.