Individual provider Active NPI

Rebecca Gahan Brown, PA-C

  • Physician Assistant
  • Las Cruces, NM
National Provider Identifier
1720445562
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
233878 Issued in AK
Practice address
150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone
(575) 556-6440
Fax
(575) 556-6440
NPI assigned
Jan 25, 2016
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 233878 AK Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X PA2017-0017 NM

Addresses

Primary practice location

150 N Roadrunner Pkwy
Las Cruces, NM 88011

Mailing address

1919 Lathrop St Ste 104
Fairbanks, AK 99701-5937
Phone (907) 341-4509

Other practice location 1

1919 Lathrop St Ste 104
Fairbanks, AK 99701-5937
Phone (907) 341-4509

Other practice location 2

1600 11th St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

Other practice location 3

2450 S Telshor Blvd
Las Cruces, NM 88011-5141
Phone (575) 522-8641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1720445562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST STE 104",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-341-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-6440",
            "fax_number": "575-556-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Lathrop St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015937",
            "country_code": "US",
            "telephone_number": "907-341-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 11th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014300",
            "country_code": "US",
            "telephone_number": "940-764-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115141",
            "country_code": "US",
            "telephone_number": "575-522-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REBECCA",
        "middle_name": "GAHAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "233878",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "PA2017-0017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.