Organization Active NPI

Younique Medical Spa

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1386512226
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
YOUNIQUE MEDICAL SPA
Practice address
6800 Montgomery Blvd NE Ste D
Albuquerque, NM 87109-1425
Phone
(575) 602-4054
Fax
(806) 905-5915
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Kacey Richardson, NPNPI 1710615802
Title
Owner/ NP
Phone
(575) 602-4054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

6800 Montgomery Blvd NE Ste D
Albuquerque, NM 87109-1425

Mailing address

201 E Sanger St
Hobbs, NM 88240-4403
Phone (575) 602-4054

Other practice location 1

201 E Sanger St
Hobbs, NM 88240-4403
Phone (575) 602-4054

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2327190Younique Medical Spa6800 Montgomery Blvd NE Ste D, Albuquerque, NM 87109Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

6800 Montgomery Blvd NE
Ste D
Albuquerque, NM 87109
Phone (575) 602-4054

201 E Sanger St
Hobbs, NM 88240
Phone (575) 602-4054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1386512226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E SANGER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882404403",
            "telephone_number": "575-602-4054",
            "fax_number": "806-905-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MONTGOMERY BLVD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091425",
            "telephone_number": "575-602-4054",
            "fax_number": "806-905-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Sanger St",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882404403",
            "country_code": "US",
            "telephone_number": "575-602-4054",
            "fax_number": "806-905-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUNIQUE MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "OWNER/ NP",
        "authorized_official_telephone_number": "575-602-4054",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.