NPIMap

Organization Active NPI

Rediclinic Austin, LLC

Doing business as RediClinic

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1558679662
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REDICLINIC AUSTIN, LLC
Doing business as
RediClinic
Practice address
500 Canyon Ridge Dr
Austin, TX 78753-1632
Phone
(512) 836-9000
Fax
(512) 836-9003
NPI assigned
Sep 23, 2010
Organization subpart
Yes
Parent organization
REDICLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Ms. Danielle Barrera
Title
Chief Operating Officer
Phone
(713) 580-9489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

500 Canyon Ridge Dr
Austin, TX 78753-1632

Mailing address

9 Greenway PLZ
Houston, TX 77046-0905

Other names 1

  • RediClinic Doing business as

National Provider Directory

National Provider Directory
Part of
Rediclinic LLC

Locations

9 Greenway Plz
Houston, TX 77046

Practitioners & affiliated clinicians

Practitioners 4

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": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1558679662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CANYON RIDGE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531632",
            "telephone_number": "512-836-9000",
            "fax_number": "512-836-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC AUSTIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDICLINIC, LLC",
        "enumeration_date": "2010-09-23",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "713-580-9489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediClinic",
            "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 Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.