Active NPI
Lauren E Broadbent
- Student in an Organized Health Care Education/Training Program
- Albuquerque, NM
National Provider Identifier
1346948882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RS2025-0138
- Practice address
- Msc10 5610
University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (505) 272-4161
- Fax
- (505) 272-2776
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2025-0138 | NM | Primary |
Addresses
Primary practice location
Msc10 5610
University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
17450 Groveland PL
Wayzata, MN 55391-2880
Phone (952) 687-1032
Other practice location 1
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone (801) 581-7498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250529003354 | NM | Order and Referring Only - Otolaryngology | 2860901170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1346948882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17450 GROVELAND PL",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912880",
"telephone_number": "952-687-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSC10 5610",
"address_2": "UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4161",
"fax_number": "505-272-2776"
}
],
"practiceLocations": [
{
"address_1": "27 S Mario Capecchi Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841125888",
"country_code": "US",
"telephone_number": "801-581-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADBENT",
"first_name": "LAUREN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2025-0138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.