Individual provider Active NPI

Olivia Laumbach

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1215694567
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1036738 Issued in NM
Practice address
4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478
Phone
(505) 315-3541
Fax
(505) 445-4904
NPI assigned
Nov 22, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1036738 NM Primary

Addresses

Primary practice location

4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478

Mailing address

PO Box 44308
Albuquerque, NM 87174-4308
Phone (505) 315-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215002475 TX Practitioner - Nurse Practitioner 0042603011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1036738NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Family Medicine CurrentSince Oct 12, 2025 Accepting new patients

Locations

4801 McMahon Blvd NW
Ste 245
Albuquerque, NM 87114
Phone (505) 315-3541

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1215694567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44308",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871744308",
            "telephone_number": "505-315-3541",
            "fax_number": "505-445-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW STE 245",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145478",
            "telephone_number": "505-315-3541",
            "fax_number": "505-445-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUMBACH",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "1036738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.