Organization Active NPI

Moms2Moms Pediatrics PLLC

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1295868842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L6823 Issued in TX
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nitzia CepedaNPI 1154412237
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2092100Jollyville Pediatrics11851 Jollyville Rd Suite 204, Austin, TX 78759Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.