Active NPI
Marybeth Hampton
- Adult Medicine Physician
- Albuquerque, NM
National Provider Identifier
1417444977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- R52937
- Practice address
- 5850 Eubank Blvd NE Ste B32
Albuquerque, NM 87111-6127 - Phone
- (505) 200-2860
- Fax
- (505) 918-0208
- NPI assigned
- Apr 19, 2018
- Last updated
- Sep 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | R52937 | NM | Primary |
Addresses
Primary practice location
5850 Eubank Blvd NE Ste B32
Albuquerque, NM 87111-6127
Mailing address
6908 San Antonio PL NE
Albuquerque, NM 87109-4755
Phone (505) 554-9186
Other practice location 1
3825 Eubank Blvd NE Ste A
Albuquerque, NM 87111
Phone (505) 292-8575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R52937 | NM | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer J Hardenbrook MD PC | Current | Accepting new patients |
Locations
3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575
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.
-
- Family Medicine Physician
- Draper, UT
- NPI 1073909594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1417444977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 SAN ANTONIO PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094755",
"telephone_number": "505-554-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 EUBANK BLVD NE STE B32",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871116127",
"telephone_number": "505-200-2860",
"fax_number": "505-918-0208"
}
],
"practiceLocations": [
{
"address_1": "3825 Eubank Blvd NE Ste A",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87111",
"country_code": "US",
"telephone_number": "505-292-8575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMPTON",
"first_name": "MARYBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NM",
"license": "R52937",
"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 Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.