Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE PC

Practice address

3825 Eubank Blvd NE Ste a
Albuquerque, NM 87111-3559

Phone

(505) 292-8575

Fax

(505) 292-8409

NPI assigned

Oct 3, 2007

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Henderson

Title

Chief Business Officer

Phone

(505) 494-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Genevieve Rae Cardona, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1558799080
  Medicare reassignment Care Compare group NPD
• Alexis Corinne Chavez

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1063382976

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jennifer Duffy, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1013687011
  Medicare reassignment Care Compare group NPD
• Kathleen Ann Kraft, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1972619567
  Medicare reassignment Care Compare group NPD
• Ashlea Maria Lucero, FNP-C, RN

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1568237485

  Family Medicine

  Medicare reassignment Care Compare group NPD
• La Tisha Martinez, NP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1174367312
  Medicare reassignment Care Compare group NPD
• Jenise Rancher, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1861038424
  Medicare reassignment Care Compare group NPD
• Jennifer L Sanchez

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1760215909
  Medicare reassignment Care Compare group NPD
• Karina Vizcarra

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1154202182
  Medicare reassignment Care Compare group NPD
• Brittany Willis, APRN

  • Family Nurse Practitioner
  • Algodones, NM
  • NPI 1841174042

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Jonathan Asa Cade, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1013155258
  Medicare reassignment NPD
• Jessika Junick, NP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1003313008
  Medicare reassignment NPD

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1083802029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113575",
            "telephone_number": "505-292-8575",
            "fax_number": "505-292-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113559",
            "telephone_number": "505-292-8575",
            "fax_number": "505-292-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2024-06-18",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "505-494-5400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44727",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Foot Health Specialists, P.C.
• Family Harmony
• Family Health Clinic of New Mexico Inc.
• Family Healthcare LLC
• Family Hospice LTD (Gentiva)
• Family Physicians of Albuquerque, PC
• Family Smiles, LLC
• Family Smiles, LLC
• Family Smiles, LLC
• Family Workshop LCC

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.