Individual provider Active NPI

Elizabeth Rodgers, PNP

  • Pediatric Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1689040461
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP-02746 Issued in NM
Practice address
700 Lomas Blvd NE, 3 Woodward Center
Albuquerque, NM 87102
Phone
(505) 842-5240
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X CNP-02746 NM Primary

Addresses

Primary practice location

700 Lomas Blvd NE, 3 Woodward Center
Albuquerque, NM 87102

Mailing address

700 Lomas Blvd NE
Three Woodward Center
Albuquerque, NM 87102-2568
Phone (505) 842-5240

Other practice location 1

4333 Pan American Fwy NE Ste B
Albuquerque, NM 87107-6833
Phone (505) 266-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP-02746NMMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bebe Care Past Accepting new patients

Organizations & group practices 1

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1689040461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOMAS BLVD NE",
            "address_2": "THREE WOODWARD CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022568",
            "telephone_number": "505-842-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LOMAS BLVD NE, 3 WOODWARD CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-842-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 Pan American Fwy NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871076833",
            "country_code": "US",
            "telephone_number": "505-266-3340",
            "fax_number": "505-702-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ELIZABETH",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP-02746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.