NPIMap

Individual provider Active NPI

Rebecca Wendall Daley, D.O.

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1356348288
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5498 Issued in TX
Practice address
1308 South Highway 16
Fredericksburg, TX 78624-5058
Phone
(830) 997-2181
Fax
(830) 997-4453
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5498 TX Primary

Addresses

Primary practice location

1308 South Highway 16
Fredericksburg, TX 78624-5058

Mailing address

1308 South Highway 16
Fredericksburg, TX 78624-5058
Phone (830) 997-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000195 TX Practitioner - Family Practice 6305903527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fredericksburg Clinic PLLCGroup PAC ID 3375515992, 10 clinicians

Practice addresses (Care Compare)

1308 S Hwy 16
Fredericksburg, TX 78624-5058
Phone 8309972181290

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Fredericksburg, TX, CCN 677951
  • Methodist Healthcare Hill Country Healthcare at Home Home health agency, Fredericksburg, TX, CCN 457216
  • Ave Maria Hospice Hospice, Fredericksburg, TX, CCN 671595
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Avir at Fredericksburg Nursing home, Fredericksburg, TX, CCN 675169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
K5498TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Clinic, PLLC Family Medicine CurrentSince Aug 15, 2010 Accepting new patients

Locations

1308 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 997-2181

Interoperability endpoints

  • Direct secure messaging: rebecca.daley@854391770316804.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ave Maria HospiceFredericksburg, TX, CCN 671595 Hospice Contracted Managing Employee Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1356348288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 SOUTH HIGHWAY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245058",
            "telephone_number": "830-997-2181",
            "fax_number": "830-997-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 SOUTH HIGHWAY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245058",
            "telephone_number": "830-997-2181",
            "fax_number": "830-997-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "REBECCA",
        "middle_name": "WENDALL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.