Organization Active NPI

Women in Leadership New Mexico Inc

Doing business as Women In Leadership

  • Peer Specialist
  • Albuquerque, NM
National Provider Identifier
1639947252
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
WOMEN IN LEADERSHIP NEW MEXICO INC
Doing business as
Women In Leadership
Practice address
300 Central Ave SW
1500 East
Albuquerque, NM 87102
Phone
(505) 369-1731
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Stacy Burleson, CPSWNPI 1033729652
Title
Executive Director
Phone
(505) 369-1731

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
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

300 Central Ave SW
1500 East
Albuquerque, NM 87102

Mailing address

300 Central Ave SW Ste 1500
Albuquerque, NM 87102-3298
Phone (505) 369-1731

Other practice location 1

226 Charleston St NE
Albuquerque, NM 87108-2185
Phone (505) 369-1731

Other names 1

  • Women In Leadership Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Women in Leadership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Central Ave SW
Ste 1500
Albuquerque, NM 87102
Phone (505) 369-1731

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1639947252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE SW STE 1500",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023298",
            "telephone_number": "505-369-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE SW",
            "address_2": "1500 EAST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-369-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Charleston St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082185",
            "country_code": "US",
            "telephone_number": "505-369-1731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMEN IN LEADERSHIP NEW MEXICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-369-1731",
        "authorized_official_credential": "CPSW"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women In Leadership",
            "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 Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.