Individual provider Active NPI

Rebecca L Webb, MD

  • Pediatrics Physician
  • Los Lunas, NM
National Provider Identifier
1679680623
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2010-0009 Issued in NM
Practice address
428 Los Lentes Rd SE Ste 3
Los Lunas, NM 87031-6018
Phone
(505) 865-3350
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 29533 IA
Pediatrics Physician 208000000X 38265 WI
Pediatrics Physician 208000000X 036121318 IL
Pediatrics Physician 208000000X MD2010-0009 NM Primary

Addresses

Primary practice location

428 Los Lentes Rd SE Ste 3
Los Lunas, NM 87031-6018

Mailing address

PO Box 28164
Santa Fe, NM 87592-8164
Phone (505) 216-2727

Other practice location 1

2216 Rancho Plata Ave SE
Rio Rancho, NM 87124-8711
Phone (595) 718-2018

Other practice location 2

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

Other names 1

  • Rebecca Lynn Sorenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425000739 NM Practitioner - Pediatric MedicinePractitioner - Psychiatry 6507947462 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29533IAMDPediatrics Physician
036121318ILMDPediatrics Physician
MD2010-0009NMMDPediatrics Physician
38265WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Health System LLC Current Accepting new patients
Lovelace Health System LLC CurrentSince Jan 1, 2021 Accepting new patients
Presbyterian Healthcare Services Pediatrics CurrentSince Mar 1, 2014 Accepting new patients
Lovelace Health System, LLC CurrentSince Jan 1, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2014 Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1112 N Main St
Roswell, NM 88201
Phone (575) 627-4200

Organizations & group practices 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1679680623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28164",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928164",
            "telephone_number": "505-216-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LOS LENTES RD SE STE 3",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316018",
            "telephone_number": "505-865-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 Rancho Plata Ave SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871248711",
            "country_code": "US",
            "telephone_number": "595-718-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Camino Entrada",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074851",
            "country_code": "US",
            "telephone_number": "505-216-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "29533",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "38265",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036121318",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2010-0009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SORENSON",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.