Active NPI
Rebecca Marie Bannon, CPNP-PC
- Pediatric Nurse Practitioner
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1140597
- Practice address
- 169 Interstate 35 S Ste 169
New Braunfels, TX 78130-4817 - Phone
- (210) 233-7000
- NPI assigned
- Oct 30, 2023
- Last updated
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1140597 | TX | Primary |
Addresses
Primary practice location
169 Interstate 35 S Ste 169
New Braunfels, TX 78130-4817
Mailing address
169 Interstate 35 S Ste 169
New Braunfels, TX 78130-4817
Phone (210) 233-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3066 E Commerce St
San Antonio, TX 78220-1013
3711 Friendly Acres
Selma, TX 78154-3536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140597 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Dr. George & Associates P.a. | Pediatrics | Current | Accepting new patients |
| Barrio Comprehensive Family Health Care Center, Inc. | Past | Accepting new patients |
Locations
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
4360 Thousand Oaks Dr
San Antonio, TX 78217
Phone (210) 655-2300
Organizations & group practices 5
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.
-
dba CommuniCare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
dba Communicare Health Centers
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1427357458
-
dba Thousand Oaks Pediatrics & Family Medicine Center
- General Practice Physician
- San Antonio, TX
- NPI 1508691411
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- New Braunfels, TX
- NPI 1972459949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1740052026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 INTERSTATE 35 S STE 169",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304817",
"telephone_number": "210-233-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 INTERSTATE 35 S STE 169",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304817",
"telephone_number": "210-233-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNON",
"first_name": "REBECCA",
"middle_name": "MARIE",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1140597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.