Individual provider Active NPI

Marybeth Hampton

  • Adult Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1417444977
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R52937 Issued in NM
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R52937NMMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince May 11, 2023 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.

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

Verify at the official NPI Registry.