Rebekah D Carlozzi, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2005-0060 Issued in NM

Practice address

402 W. Country Club Rd
Roswell, NM 88201

Phone

(575) 627-9500

Fax

(575) 627-4127

NPI assigned

Nov 6, 2006

Last updated

Mar 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rcarlozzi478741@direct.integrisok.com
• Direct secure messaging: rebekah.carlozzi.1@17619.direct.athenahealth.com

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.

• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1235218462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1574",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W. COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOZZI",
        "first_name": "REBEKAH",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2005-0060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31538568",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Cardenas
• Eric I Cardona, ATC, LAT
• Mark A Carey, DDS
• Brenda Denise Carlile, RPH
• Olivia Carlos
• Carlsbad Lifehouse Inc
• Robyn Carlton, RBT
• Austin Carnero
• Amanda Ashley Carrillo, LMSW
• Cassandra M Carrillo, LCSW

• Medical Physician Assistant in Roswell, NM
• Providers in Roswell, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.