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REDICLINIC
NPI 1558679662
Clinic/Center in Austin, TX

Active since September 23, 2010
500 CANYON RIDGE DR, AUSTIN, TX 78753(512) 836-9000(512) 836-9003 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rediclinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDICLINIC (NPI 1558679662) is a healthcare organization registered as a clinic/center in Austin, Texas and active in the NPI registry since September 2010. The organization lists Danielle Barrera, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1558679662
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREDICLINIC AUSTIN, LLC
Location Address500 CANYON RIDGE DRAustin, TX 78753-1632
Mailing Address9 Greenway PlzHouston, TX 77046-0905
Phone(512) 836-9000
Fax(512) 836-9003
Organization SubpartYesParent: Rediclinic, Llc
Authorized OfficialDanielle BarreraChief Operating Officer · (713) 580-9489
Enumeration DateSeptember 23, 2010
Last NPPES UpdateJune 5, 2014
✔ NPI 1558679662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
500 CANYON RIDGE DR, Austin, TX 78753
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Other Names 1

Doing Business AsRediclinic

Other Identifiers 1

Medicare PIN00Y412TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD BARNUM GUSTAFSON
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 973-8753
CARRIE BANIGAN HODGES RN, NP-C
Nurse Practitioner (Family)
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 836-9000
NICOLE CHRISTINE STAVINOHA-PETTIT P.T.
Physical Therapist
500 CANYON RIDGE DR, SUITE B-150
AUSTIN, TX 78753
Travis County (512) 596-0566
CHLOE PINEDA
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 973-8753
MR. KIRBY REED FNP
Nurse Practitioner (Family)
500 CANYON RIDGE DR, SUITE J350
AUSTIN, TX 78753
Travis County (512) 920-5256
SHANNON ZUCCA
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 973-8753
JOANN JARAMILLO COBURN
Pharmacy Technician
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 973-8753
TODD ELLSWORTH RPH
Pharmacist
500 CANYON RIDGE DR
AUSTIN, TX 78753
Travis County (512) 973-8753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rediclinic Austin, LLC's NPI number?

The NPI number for Rediclinic Austin, LLC is 1558679662. It was assigned to this organization in the NPPES registry on September 23, 2010. The provider is doing business as Rediclinic.

Where is Rediclinic Austin, LLC located?

Rediclinic Austin, LLC is located at 500 Canyon Ridge Dr, Austin, TX 78753. The listed phone number is (512) 836-9000.

What is Rediclinic Austin, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rediclinic Austin, LLC was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.