Individual provider Active NPI

Alicia V Lacovara, AGNP-C

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1831979749
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76098 Issued in NM
Practice address
1823 Camino de Salud
Albuquerque, NM 87106-3782
Phone
(505) 272-4866
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76098 NM Primary

Addresses

Primary practice location

1823 Camino de Salud
Albuquerque, NM 87106-3782

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Other practice location 1

1 Camino Del Senador
Tijeras, NM 87059-7420
Phone (505) 510-1343

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu
Direct Messaging Address UNMMG@direct.health.unm.edu

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
I20250325004155 NM Practitioner - Nurse Practitioner 2466975990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm HospitalGroup PAC ID 7618889528, 394 clinicians
White Sands Family Practice Clinic, IncGroup PAC ID 6901702976, 14 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644

923 9TH St
Suite B
Alamogordo, NM 88310-6431
Phone (575) 488-2720

Hospital & facility affiliations

  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital CurrentSince Jul 1, 2025 Accepting new patients
White Sands Family Practice Clinic, Inc. Nurse Practitioner CurrentSince Feb 17, 2025 Accepting new patients
Unm Hospital CurrentSince Jul 1, 2025 Accepting new patients
Unm Medical Group Inc CurrentSince Jan 23, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jan 23, 2025 Accepting new patients
Optimized Wellness Nurse Practitioner Past Accepting new patients

Locations

923 9th St
Ste B
Alamogordo, NM 88310
Phone (575) 437-9900

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

1823 Camino de Salud
Albuquerque, NM 87106
Phone (505) 272-1754

1916 W 21st St
Clovis, NM 88101
Phone (575) 935-2121

3420 N Grimes St
Ste 200
Hobbs, NM 88240

110 W College Blvd
Ste D
Roswell, NM 88201

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/h9KqHATFapnAh9QYI0aR69I-qK5X4t_N/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1831979749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 CAMINO DE SALUD",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063782",
            "telephone_number": "505-272-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Camino Del Senador",
            "address_purpose": "LOCATION",
            "city": "Tijeras",
            "state": "NM",
            "postal_code": "870597420",
            "country_code": "US",
            "telephone_number": "505-510-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOVARA",
        "first_name": "ALICIA",
        "middle_name": "V",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "76098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMMG@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "800 Bradbury Dr SE Ste 116",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.