Active NPI
Rebecca L Peebles, D.O.
- Family Medicine Physician
- Tyler, TX
National Provider Identifier
1245678457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T1515
- Practice address
- 3310 Patriot Dr
Tyler, TX 75701-6606 - Phone
- (903) 877-7200
- Fax
- (903) 939-7878
- NPI assigned
- Jun 10, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1255 | NE | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 1255 | NE | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | T1515 | TX | |
| Family Medicine Physician | 207Q00000X | T1515 | TX | Primary |
Addresses
Primary practice location
3310 Patriot Dr
Tyler, TX 75701-6606
Mailing address
11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7200
Other practice location 1
2510 Bellevue Medical Center Dr Ste 200
Bellevue, NE 68123-1520
Phone (402) 595-2275
Other practice location 2
2501 Capehart Rd
Offutt AFB, NE 68113-2160
Phone (402) 294-2056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 24, 2025 through Sep 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1255 | NE | MD | Speech-Language Pathologist |
Interoperability endpoints
- rpeebles368912@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1245678457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 PATRIOT DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757016606",
"telephone_number": "903-877-7200",
"fax_number": "903-939-7878"
}
],
"practiceLocations": [
{
"address_1": "2510 Bellevue Medical Center Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "NE",
"postal_code": "681231520",
"country_code": "US",
"telephone_number": "402-595-2275",
"fax_number": "402-595-1970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Capehart Rd",
"address_purpose": "LOCATION",
"city": "Offutt AFB",
"state": "NE",
"postal_code": "681132160",
"country_code": "US",
"telephone_number": "402-294-2056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEEBLES",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1255",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NE",
"license": "1255",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "T1515",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T1515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.