Individual provider Active NPI

Rebecca L Peebles, D.O.

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1245678457
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T1515 Issued in TX
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

Updated by the provider on May 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
1255NEMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.