Active NPI
Moms2Moms Pediatrics PLLC
- Pediatrics Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L6823
- Legal business name
- MOMS2MOMS PEDIATRICS PLLC
- Practice address
- 11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338 - Phone
- (512) 219-5550
- Fax
- (512) 219-5551
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nitzia Cepeda
- Title
- MBR
- Phone
- (512) 219-5550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L6823 | TX | Primary |
Addresses
Primary practice location
11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338
Mailing address
11851 Jollyville Rd
Suite 204
Austin, TX 78759-2338
Phone (512) 219-5550
Other names 1
- Jollyville Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2092100 | Jollyville Pediatrics | Certificate of waiver | Feb 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
11851 Jollyville Rd
Ste 204
Austin, TX 78759
Phone (512) 219-5550
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1154412237
-
- Pediatrics Physician
- Austin, TX
- NPI 1740371764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295868842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11851 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592338",
"telephone_number": "512-219-5550",
"fax_number": "512-219-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 JOLLYVILLE RD",
"address_2": "SUITE 204",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592338",
"telephone_number": "512-219-5550",
"fax_number": "512-219-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMS2MOMS PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CEPEDA",
"authorized_official_first_name": "NITZIA",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "512-219-5550"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "L6823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jollyville Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.