Active NPI
Steven T Lackey, N.P.
- Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 56320
- Practice address
- 3825 Eubank Blvd NE
Albuquerque, NM 87111-3575 - Phone
- (800) 640-3451
- NPI assigned
- May 16, 2006
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56320 | NM | Primary |
| Nurse Practitioner | 363L00000X | 7045 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | APN0000007045 | TN |
Addresses
Primary practice location
3825 Eubank Blvd NE
Albuquerque, NM 87111-3575
Mailing address
PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517957 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
3825 Eubank Blvd NE
Suite a
Albuquerque, NM 87111-3559
Phone (800) 640-3451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7045 | TN | MD | Dentist |
| APN0000007045 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Rehabilitation Physicians LLC | Current | Accepting new patients | |
| New Mexico Center for Pain and Wellness, LLC | Current | Accepting new patients | |
| Colorado Center for Pain and Wellness, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Guadalupe County | Current | Accepting new patients | |
| Guadalupe County | Current | Accepting new patients | |
| Diego J Gonzalez MD PC | Current | Accepting new patients | |
| Cura Healthcare | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Nurse Practitioner | Current | Accepting new patients |
| Memphis Lung Physicians, P.C. | Past | Accepting new patients | |
| Spencer J Hardenbrook MD PC | Past | Accepting new patients | |
| Family Medicine PC | Past | Accepting new patients | |
| The Bellevue Clinic, PC | Past | Accepting new patients | |
| Ut Medical Group, Inc. | Past | Accepting new patients | |
| Ut Medical Group Inc | Past | Accepting new patients | |
| Lovelace Urgent Care, LLC | Past | Accepting new patients |
Locations
101 Hospital Loop NE
Ste 109
Albuquerque, NM 87109
Phone (505) 727-4400
10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687
8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
8300 Carmel Ave NE
Ste 500501
Albuquerque, NM 87122
Phone (505) 633-4141
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 Camino de Vida
Ste 100
Santa Rosa, NM 88435
Phone (575) 472-3417
117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
Interoperability endpoints
- slackey470064@ahs.direct-ci.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1649984667
-
dba New Mexico Pain Associates
- Pain Clinic/Center
- Albuquerque, NM
- NPI 1518478866
-
dba Guadalupe County Hospital
- Emergency Care Clinic/Center
- Santa Rosa, NM
- NPI 1346249968
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1033803143
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
Nurse Practitioner
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
NM
-
dba Guadalupe County Ambulance Service
- Land Ambulance
- Santa Rosa, NM
- NPI 1063227494
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033918131
Nurse Practitioner
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1083802029
-
dba Lovelace Urgent Care
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1649222910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840621200",
"telephone_number": "800-640-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EUBANK BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113575",
"telephone_number": "800-640-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "STEVEN",
"middle_name": "T",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "56320",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "7045",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000007045",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517957",
"state": "TN"
}
],
"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 Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.