Individual provider Active NPI

Rebekah Kristine Longshore

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1588894612
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18892 Issued in CA
Practice address
12313 North Mopac Expressway
#200
Austin, TX 78758
Phone
(512) 973-8276
NPI assigned
Jul 23, 2009
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18892 CA Primary

Addresses

Primary practice location

12313 North Mopac Expressway
#200
Austin, TX 78758

Mailing address

12319 N Mopac Expy Ste 200
Austin, TX 78758-2497

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
I20170214002254 TX Practitioner - Nurse Practitioner 1951444199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Urogynecology, PLLCGroup PAC ID 8820127160, 3 clinicians

Practice addresses (Care Compare)

12319 N Mopac Expy
Suite 200
Austin, TX 78758-2497
Phone (512) 973-8276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18892CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Urogynecology, PLLC CurrentSince Oct 2, 2016 Accepting new patients
Austin Urology Institute, PA Past Accepting new patients

Locations

12319 N Mopac Expy
Ste 200
Austin, TX 78758
Phone (512) 694-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebekah.longshore.1@16890.direct.athenahealth.com

Organizations & group practices 2

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1588894612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 NORTH MOPAC EXPRESSWAY",
            "address_2": "#200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-973-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "REBEKAH",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "18892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.