Active NPI
Cottonwood Family Medicine LLC
- Primary Care Clinic/Center
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- CNP02459
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Boylan
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2123050 | Cottonwood Family Medicine LLC | Certificate of waiver | Dec 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1669885182
-
- Family Nurse Practitioner
- Rio Rancho, NM
- NPI 1124724646
-
- Primary Care Nurse Practitioner
- Corrales, NM
- NPI 1396840211
-
- General Practice Physician
- Corrales, NM
- NPI 1538203856
-
- Family Medicine Physician
- Double Oak, TX
- NPI 1336912435
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
- Carolyn Janice Cotton, NP
- James Brian Cotton
- Cottonwood Counseling PLLC Dba Desert Pear Psychotherapy
- Cottonwood Counseling, LLC
- Cottonwood Dental, LLC
- Cottonwood Home Health Care LLC
- Cottonwood Mall Dental Practice, LLC
- Cottonwood Orthodontics, PC
- Cottonwood Smiles Dentistry and Orthodontics, LLC (Cottonwood Smiles Dentistry and Orthodontics)
- Cottonwood Therapeutics LLC
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.