Individual provider Active NPI

Keira Stevens, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1396999272
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
55258 Issued in NM
Practice address
6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908
Phone
(505) 456-0400
Fax
(833) 913-2523
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 55258 NM Primary
Family Nurse Practitioner 363LF0000X AP3183 AZ

Addresses

Primary practice location

6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908

Mailing address

6300 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-1908
Phone (505) 456-0400

Other practice location 1

3707 E Southern Ave # 501
Mesa, AZ 85206-2569
Phone (602) 661-7550

Other identifiers 2

IdentifierTypeStateIssuer
Z141674OtherPTAN
596917MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101209000414 AZ Practitioner - Nurse Practitioner 1052508512 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NP Psych and Mental Health PLLC Psychiatric/Mental Health CurrentSince Aug 8, 2021 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Arizona State University Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

3707 E Southern Ave
Ste 501
Mesa, AZ 85206
Phone (602) 661-7550

6300 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 405-3617

Interoperability endpoints

  • Direct secure messaging: keira.stevens.1@24846.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24846/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1396999272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201908",
            "telephone_number": "505-456-0400",
            "fax_number": "833-913-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201908",
            "telephone_number": "505-456-0400",
            "fax_number": "833-913-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 E Southern Ave # 501",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062569",
            "country_code": "US",
            "telephone_number": "602-661-7550",
            "fax_number": "833-913-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEIRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "55258",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z141674",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596917",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.