Individual provider Active NPI

Raquel Gallucci

  • Psychiatric/Mental Health Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1053221614
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
91390 Issued in NM
Practice address
1350 Jackie Rd SE Ste 104
Rio Rancho, NM 87124-1519
Phone
(505) 515-3981
NPI assigned
Sep 8, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 91390 NM Primary

Addresses

Primary practice location

1350 Jackie Rd SE Ste 104
Rio Rancho, NM 87124-1519

Mailing address

PO Box 15782
Rio Rancho, NM 87174-0782
Phone (505) 515-3982

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1053221614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15782",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871740782",
            "telephone_number": "505-515-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 JACKIE RD SE STE 104",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241519",
            "telephone_number": "505-515-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "91390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.