Individual provider Active NPI

Quinn K Niedbala, CPSW

  • Peer Specialist
  • Albuquerque, NM
National Provider Identifier
1851001333
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1766 Issued in NM
Practice address
3301 Los Arboles Ave NE
Albuquerque, NM 87107-1943
Phone
(505) 800-7092
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1766 NM Primary

Addresses

Primary practice location

3301 Los Arboles Ave NE
Albuquerque, NM 87107-1943

Mailing address

1529 Garcia St NE
Albuquerque, NM 87112-4024
Phone (313) 354-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1766NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Transformations, Inc CurrentSince Mar 23, 2026 Accepting new patients

Locations

3301 Los Arboles Ave NE
Albuquerque, NM 87107
Phone (505) 800-7092

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1851001333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 GARCIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124024",
            "telephone_number": "313-354-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LOS ARBOLES AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071943",
            "telephone_number": "505-800-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDBALA",
        "first_name": "QUINN",
        "middle_name": "K",
        "credential": "CPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2025; 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.