Individual provider Active NPI

Steven T Lackey, N.P.

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1649222910
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
56320 Issued in NM
Practice address
3825 Eubank Blvd NE
Albuquerque, NM 87111-3575
Phone
(800) 640-3451
NPI assigned
May 16, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1517957MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000440 NM Practitioner - Nurse Practitioner 6800817776 Reassigns benefits to 8 organizations

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
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

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

LicenseStateTypeSpecialty
7045TNMDDentist
APN0000007045TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC CurrentSince Jul 14, 2023 Accepting new patients
New Mexico Center for Pain and Wellness, LLC CurrentSince Aug 1, 2023 Accepting new patients
Colorado Center for Pain and Wellness, PLLC Nurse Practitioner CurrentSince Mar 20, 2025 Accepting new patients
Guadalupe County CurrentSince Mar 31, 2020 Accepting new patients
Guadalupe County CurrentSince Mar 31, 2020 Accepting new patients
Diego J Gonzalez MD PC CurrentSince Apr 20, 2021 Accepting new patients
Cura Healthcare CurrentSince Dec 13, 2024 Accepting new patients
Southwest Emergency Medical Associates of NM PC Nurse Practitioner CurrentSince Jul 17, 2023 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 PastSince Sep 1, 2012 Accepting new patients
Ut Medical Group, Inc. Past Accepting new patients
Ut Medical Group Inc PastSince Feb 15, 2014 Accepting new patients
Lovelace Urgent Care, LLC PastSince Apr 1, 2025 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

  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.