Individual provider Active NPI

Rebecca Marie Bannon, CPNP-PC

  • Pediatric Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1740052026
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1140597 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225000402 TX Practitioner - Nurse Practitioner 9830670199 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1140597TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 17, 2026 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 17, 2026 Accepting new patients
Dr. George & Associates P.a. Pediatrics CurrentSince Sep 8, 2024 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.

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

Verify at the official NPI Registry.