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NPI 1558679662
● Active Type 2 · Organization
Subpart
Rediclinic Austin, Llc
Clinic/Center · Austin, TX · NPI 1558679662
·
Enumerated 2010 · 15 years on NPI
Rediclinic Austin, Llc is 1 of 1927 clinic/center organizations in Texas.
NPI age
15 years
Enumerated 2010-09-23
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barrera
Chief Operating Officer
Last NPPES update
2014-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 1927 active clinic/center providers in Texas.
NPI age
15 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-09 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
500 Canyon Ridge Dr
Austin, TX 787531632
📞 5128369000 fax 5128369003
Mailing address
9 Greenway Plz
Houston, TX 770460905
Authorized official
Danielle Barrera
Chief Operating Officer
📞 7135809489
Individual providers at this organization
20 individual providers on file at this primary practice address.
Samir Alrajab , DMD
Dentist
NPI 1972059103
Joann Coburn
Pharmacy Technician
NPI 1417625039
Todd Ellsworth , RPH
Pharmacist
NPI 1437476256
Ana Galdamez
Pharmacy Technician
NPI 1982371381
Angela Galdamez
Pharmacy Technician
NPI 1710615588
Alexander Garcia
Pharmacy Technician
NPI 1578309886
Michael Garcia
Pharmacy Technician
NPI 1922782721
Richard Gustafson
Pharmacist
NPI 1134772122
Carrie Hodges , RN, NP-C
Nurse Practitioner
NPI 1164853461
Anita Jenson , RPH
Pharmacist
NPI 1720305634
Evan Luza
Pharmacist
NPI 1679164727
Gabrielle McCart , FNP-C
Nurse Practitioner
NPI 1497189195
Jesse Mooneyham , MD
Family Medicine
NPI 1508448887
Chloe Pineda
Pharmacist
NPI 1225911704
Kirby Reed , FNP
Nurse Practitioner
NPI 1366418519
Rhyia Reyes
Pharmacy Technician
NPI 1487525937
Nicole Stavinoha-Pettit , P.T.
Physical Therapist
NPI 1215162672
Ashley Um
Pharmacy Technician
NPI 1780273037
Mark Zamutt , RPH
Pharmacist
NPI 1861733735
Shannon Zucca
Pharmacist
NPI 1407196363
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of Rediclinic, Llc .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.