Organization Active NPI

Cottonwood Family Medicine LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1528429438
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CNP02459 Issued in NM
Legal business name
COTTONWOOD FAMILY MEDICINE LLC
Practice address
10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Phone
(505) 207-9044
NPI assigned
Mar 19, 2016
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Katie BoylanNPI 1669885182
Title
Owner
Phone
(505) 207-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CNP02459 NM Primary

Addresses

Primary practice location

10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048

Mailing address

10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Phone (505) 207-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160506000432 NM Part B Supplier - Clinic/Group Practice 8123327590 Receives reassigned benefits from 4 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2123050Cottonwood Family Medicine LLC10131 Coors Blvd NW Ste H8, Albuquerque, NM 87114Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Locations

4940 Corrales Rd
Ste 125
Corrales, NM 87048
Phone (505) 433-4446

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1528429438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 COORS BLVD NW STE H8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144048",
            "telephone_number": "505-207-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 COORS BLVD NW STE H8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144048",
            "telephone_number": "505-207-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-207-4099"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "CNP02459",
            "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 Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.