Organization Active NPI

Total Balance Healthcare, LLC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1447906250
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TOTAL BALANCE HEALTHCARE, LLC
Practice address
8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720
Phone
(505) 273-9453
Fax
(505) 503-1619
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Andrea Benavidez, FNP-C, PMHNP-BCNPI 1154807725
Title
Owner
Phone
(505) 273-9453

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
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720

Mailing address

8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720
Phone (505) 273-9453

Other identifiers 2

IdentifierTypeStateIssuer
28208838MedicaidNM
53801555MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220501000014 NM Part B Supplier - Clinic/Group Practice 7911394457 Receives reassigned benefits from 4 practitioners
Practice locations: Albuquerque, NM

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
32D2258635Total Balance Healthcare8417 Washington PL NE Suite a, Albuquerque, NM 87113Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Locations

1634 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 884-3344

8417 Washington Pl NE
Albuquerque, NM 87113
Phone (505) 263-4066

8417 Washington Pl NE
Ste A
Albuquerque, NM 87113
Phone (505) 273-9453

Practitioners & affiliated clinicians

Practitioners 6

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1447906250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 WASHINGTON PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131720",
            "telephone_number": "505-273-9453",
            "fax_number": "505-503-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 WASHINGTON PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131720",
            "telephone_number": "505-273-9453",
            "fax_number": "505-503-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BALANCE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-273-9453",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28208838",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53801555",
            "state": "NM"
        }
    ],
    "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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.