Individual provider Active NPI

Rebecca Jane Moore, NP

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1275975203
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP127973 Issued in TX
Practice address
211 Comal St
Austin, TX 78702-4326
Phone
(512) 978-8130
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP127973 TX Primary
Pediatric Nurse Practitioner 363LP0200X 0990816 CO
Registered Nurse 163W00000X 196559 CO

Addresses

Primary practice location

211 Comal St
Austin, TX 78702-4326

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209
Phone (512) 978-8130

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
I20210111000036 TX Practitioner - Nurse Practitioner 0648405191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis County Healthcare DistrictGroup PAC ID 5890843858, 30 clinicians

Practice addresses (Care Compare)

2802 Webberville Rd
Austin, TX 78702-2947
Phone (512) 978-8130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196559COMDRegistered Nurse
AP127973TXMDAdult Health Nurse Practitioner
0990816COMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Healthcare District Family CurrentSince May 1, 2025 Accepting new patients
Community Care Collaborative PastSince Sep 8, 2024 Accepting new patients

Locations

211 Comal St
Austin, TX 78702
Phone (512) 972-4322

1111 E Cesar Chavez St
Austin, TX 78702
Phone (512) 978-8000

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1275975203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024209",
            "telephone_number": "512-978-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COMAL ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024326",
            "telephone_number": "512-978-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP127973",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0990816",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "196559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.