Individual provider Active NPI

Tambra Bensch, CNM

  • Midwife
  • Albuquerque, NM
National Provider Identifier
1528091014
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
386 Issued in NM
Practice address
4705 Montgomery Blvd NE
Suite 301
Albuquerque, NM 87109-1226
Phone
(505) 727-4500
Fax
(505) 727-4505
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 386 NM Primary

Addresses

Primary practice location

4705 Montgomery Blvd NE
Suite 301
Albuquerque, NM 87109-1226

Mailing address

4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109-1226
Phone (505) 727-4500

Other identifiers 1

IdentifierTypeStateIssuer
Q1537MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
386NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Health System, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tbensch6839@ahs.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1528091014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSCH",
        "first_name": "TAMBRA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q1537",
            "state": "NM"
        }
    ],
    "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 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.