Individual provider Active NPI

Rebecca Ann Redmond, F.N.P.

  • Family Nurse Practitioner
  • Royse City, TX
National Provider Identifier
1568478568
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
638379 Issued in TX
Practice address
494 W Interstate 30
Royse City, TX 75189-7527
Phone
(972) 635-2186
Fax
(972) 635-2198
NPI assigned
Jul 31, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 638379 TX Primary

Addresses

Primary practice location

494 W Interstate 30
Royse City, TX 75189-7527

Mailing address

494 W Interstate 30
Royse City, TX 75189-7527
Phone (972) 635-2186

Other practice location 1

7515 Greenville Ave
Suite 600
Dallas, TX 75231-3831
Phone (214) 361-5432

Other practice location 2

7515 Greenville Ave
Suite 600
Dallas, TX 75231-3831
Phone (214) 361-5432

Other identifiers 2

IdentifierTypeStateIssuer
638379OtherTXSTATE LICENSE
P00773116OtherTXRAILROAD MEDICARE PROVIDER NUMBER

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
I20081015000642 TX Practitioner - Nurse Practitioner 0042378317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

6257 FM 2642 Blvd
Suite 100
Royse City, TX 75189-3224
Phone (972) 635-9490

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
638379TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 24, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 24, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: rredmond1360032@direct.sw.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568478568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 W INTERSTATE 30",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897527",
            "telephone_number": "972-635-2186",
            "fax_number": "972-635-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W INTERSTATE 30",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897527",
            "telephone_number": "972-635-2186",
            "fax_number": "972-635-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Greenville Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313831",
            "country_code": "US",
            "telephone_number": "214-361-5432",
            "fax_number": "214-363-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7515 Greenville Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313831",
            "country_code": "US",
            "telephone_number": "214-361-5432",
            "fax_number": "214-363-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "638379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "638379",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00773116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

Verify at the official NPI Registry.