REBEKAH D CARLOZZI PA NPI 1235218462

NPI Information

NPI: 1235218462
Provider Name: REBEKAH D CARLOZZI, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
402 W. COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (575) 627-9500
Get Directions

Rebekah D Carlozzi, PA is a medical physician assistant in Roswell, NM. Rebekah D Carlozzi, PA NPI is 1235218462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

402 W. COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (575) 627-9500
Fax: (575) 627-4127

The enumeration date for this NPI number is 11/6/2006 and was last updated on 3/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA2005-0060	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NM301410	MEDICARE PIN	NEW MEXICO
2	Q63762	MEDICARE UPIN	NEW MEXICO
3	Q63762	MEDICARE UPIN
4	344604703	MEDICARE ID-TYPE UNSPECIFIED
5	31538568	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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