Individual provider Active NPI

Celeste Saunders, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1043865769
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
78642 Issued in NM
Practice address
7801 Academy Rd NE
Albuquerque, NM 87109-3379
Phone
(505) 730-5020
Fax
(505) 212-5500
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78642 NM Primary

Addresses

Primary practice location

7801 Academy Rd NE
Albuquerque, NM 87109-3379

Mailing address

9701 Eagle Rock Ave NE
Albuquerque, NM 87122-3977
Phone (505) 804-8390

Other practice location 1

9701 Eagle Rock Ave NE
Albuquerque, NM 87122-3977
Phone (505) 804-8390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001729 NM Practitioner - Nurse Practitioner 8729512900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blooming Cactus Wellness, LLCGroup PAC ID 5991108680, 4 clinicians

Practice addresses (Care Compare)

5800 McLeod Rd NE
Suite F
Albuquerque, NM 87109-2467
Phone (505) 730-5020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Cactus Wellness LLC CurrentSince Nov 1, 2024 Accepting new patients
Grace Integrated Solutions, LLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

7801 Academy Rd NE
Albuquerque, NM 87109
Phone (505) 272-2700

5800 McLeod Rd NE
Ste F
Albuquerque, NM 87109
Phone (505) 363-0250

Organizations & group practices 2

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1043865769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 EAGLE ROCK AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223977",
            "telephone_number": "505-804-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093379",
            "telephone_number": "505-730-5020",
            "fax_number": "505-212-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Eagle Rock Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871223977",
            "country_code": "US",
            "telephone_number": "505-804-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "CELESTE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "78642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.