Active NPI
Baca Community Health
Doing business as Baca Community Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BACA COMMUNITY HEALTH
- Doing business as
- Baca Community Mental Health
- Practice address
- 2921 Carlisle Blvd NE Ste 126
Albuquerque, NM 87110-2979 - Phone
- (505) 601-6257
- Fax
- (505) 554-1541
- NPI assigned
- Feb 9, 2026
- Last updated
- May 14, 2026
- Organization subpart
- Yes
- Parent organization
- BACA COMMUNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeitha C Burton
- Title
- Revenue Cycle Manager
- Phone
- (505) 539-5290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
2921 Carlisle Blvd NE Ste 126
Albuquerque, NM 87110-2979
Mailing address
2921 Carlisle Blvd NE Ste 125
Albuquerque, NM 87110-2865
Phone (505) 601-6257
Other names 1
- Baca Community Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220106002020 | NM | Part B Supplier - Clinic/Group Practice | 7416348156 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albuquerque, NM |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Baca Community Health
- Part of
- Baca Community Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1245995315
Locations
2921 Carlisle Blvd NE
Ste 125
Albuquerque, NM 87110
Phone (505) 539-5290
2921 Carlisle Blvd NE
Ste 126
Albuquerque, NM 87110
Phone (505) 601-6257
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1245995315
Practitioners & affiliated clinicians
Practitioners 2
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 1811521255
-
- Gerontology Nurse Practitioner
- Albuquerque, NM
- NPI 1447015219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1376494856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 CARLISLE BLVD NE STE 125",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102865",
"telephone_number": "505-601-6257",
"fax_number": "505-554-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 CARLISLE BLVD NE STE 126",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102979",
"telephone_number": "505-601-6257",
"fax_number": "505-554-1541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACA COMMUNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BACA COMMUNITY HEALTH",
"enumeration_date": "2026-02-09",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "LAKEITHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "505-539-5290"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baca Community Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.