Individual provider Active NPI

Rebecca Elizabeth Brown, NP

  • Adult Health Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1154619344
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
641690 Issued in TX
Practice address
1001 Cypress Creek Rd Ste 103
Cedar Park, TX 78613-4467
Phone
(512) 843-1143
Fax
(833) 450-5819
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 641690 TX Primary

Addresses

Primary practice location

1001 Cypress Creek Rd Ste 103
Cedar Park, TX 78613-4467

Mailing address

108 Fort Hood LN
Georgetown, TX 78628-6007
Phone (512) 843-1143

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
I20251208002776 TX Order and Referring Only - Nurse Practitioner 1355512104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
641690TXMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rebecca.brown.1@30525.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1154619344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FORT HOOD LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286007",
            "telephone_number": "512-843-1143",
            "fax_number": "833-450-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CYPRESS CREEK RD STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134467",
            "telephone_number": "512-843-1143",
            "fax_number": "833-450-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "641690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.