Rediclinic Austin, LLC

Rediclinic Austin, LLC is a healthcare organization registered as Clinic/Center in Austin, TX, holding Type 2 (organization) NPI 1558679662 since 2010. The authorized official on file is Danielle Barrera, Chief Operating Officer.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1558679662
Entity type	Organization (Type 2)
Legal business name	Rediclinic Austin, LLC
Other name	<Unavail>
Parent organization	Rediclinic, LLC
Practice address	500 CANYON RIDGE DR, Austin, TX, 78753
Phone	5128369000
Fax	5128369003
Enumeration date	2010-09-23
Last updated in NPPES	2014-06-05

Authorized official

Name	Danielle Barrera
Title	Chief Operating Officer
Phone	7135809489

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261Q00000X	Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Rediclinic Austin, LLC
NPI: 1558679662
Taxonomy: 261Q00000X (Clinic/Center)
Address: 500 CANYON RIDGE DR, Austin, TX, 78753

Providers at this address

NPI	Name	Type	Specialty	Location
1366418519	Kirby Reed	Individual	Family Nurse Practitioner	Austin, TX
1649389065	H-E-B, Lp	Organization	Community/Retail Pharmacy	Austin, TX
1215162672	Nicole Stavinoha-Pettit	Individual	Physical Therapist	Austin, TX
1720305634	Anita Jenson	Individual	Pharmacist	Austin, TX
1437476256	Todd Ellsworth	Individual	Pharmacist	Austin, TX
1407196363	Shannon Zucca	Individual	Pharmacist	Austin, TX
1861733735	Mark Zamutt	Individual	Pharmacist	Austin, TX
1497189195	Gabrielle Mccart	Individual	Family Nurse Practitioner	Austin, TX

Verify this record

Cross-check NPI 1558679662 against the authoritative CMS record: view Rediclinic Austin, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Rediclinic Austin, LLC located?

The practice location on file with NPPES is in Austin, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-06-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-06-05.