FAMILY MEDICINE PC - NPI 1083802029 - Family Medicine in Albuquerque, NM

Q: What is Family Medicine PC's NPI number?

The NPI number for Family Medicine PC is 1083802029. It was assigned to this organization in the NPPES registry on October 3, 2007.

Q: What is Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE PC (NPI 1083802029) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Stephanie Henderson, Chief Business Officer, as its authorized official.

NPPES Registry Identity

NPI1083802029

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICINE PC

Location Address3825 EUBANK BLVD NE STE AAlbuquerque, NM 87111-3559

Mailing Address3825 Eubank Blvd NeAlbuquerque, NM 87111-3575 · (505) 292-8575 · Fax (505) 292-8409

Phone(505) 292-8575

Fax(505) 292-8409

Organization SubpartNo

Authorized OfficialStephanie HendersonChief Business Officer · (505) 494-5400

Enumeration DateOctober 3, 2007

Last NPPES UpdateJune 18, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1083802029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3825 EUBANK BLVD NE STE A, Albuquerque, NM 87111

Open in Google Maps ↗

Other Identifiers 1

Medicaid44727NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0976841

Family Medicine PC · Albuquerque, NM

Active · expires Aug 14, 2026

CLIA Number32D0976841

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2024

Certificate Expiration DateAugust 14, 2026

Laboratory DirectorGenevieve R. Cardona

Laboratory Phone(505) 292-8575

Laboratory LocationFamily Medicine PC3825 Eubank Blvd NE Ste A, Albuquerque, NM 87111

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0968003

Family Medicine Center · Albuquerque, NM

Active · expires Nov 29, 2027

CLIA Number32D0968003

Laboratory TypeCommunity Clinic

Certificate Effective DateNovember 30, 2025

Certificate Expiration DateNovember 29, 2027

Laboratory DirectorDr. Kira Paisley

Laboratory Phone(505) 272-1734

Laboratory LocationFamily Medicine Center2400 Tucker NE, Albuquerque, NM 87106

CLIA data matches this NPI record on: Name

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSIKA JUNICK NP-C

Nurse Practitioner (Family)