Individual provider Active NPI

Rachel Bershad, NP

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1962220244
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1004621 Issued in TX
Practice address
3705 Medical Pkwy Ste 200
Austin, TX 78705-1027
Phone
(512) 324-2720
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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 1004621 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 200
Austin, TX 78705-1027

Mailing address

3705 Medical Pkwy Ste 200
Austin, TX 78705-1027
Phone (512) 324-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1004621TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group Current Accepting new patients
Dell Children'S Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Dell Children'S Medical Group Pediatrics CurrentSince Nov 1, 2024 Accepting new patients

Locations

3705 Medical Pkwy
Ste 200
Austin, TX 78705
Phone (512) 324-2720

5301 Davis Ln
Bldg B200
Austin, TX 78749
Phone (512) 887-3187

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1962220244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-324-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-324-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSHAD",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.