Organization Active NPI

Baca Community Health

Doing business as Baca Community Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1376494856
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BACA COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Health2 organizations share this tax ID, including this one
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.

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.

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.

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.

Verify at the official NPI Registry.