Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRANDA NICHOLLE BACA
NPI 1649109364
Peer Specialist in Albuquerque, NM

Q: What is Miranda Baca's NPI number?

The NPI number for Miranda Baca is 1649109364. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Miranda Baca's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Baca was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2026

2501 SAN PEDRO DRIVE NE #118, ALBUQUERQUE, NM 87110(505) 249-3826(505) 212-4610 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 22, 2026, Sep 1, 2026, May 18, 2026 (3 updates tracked since 2026).

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About Miranda Nicholle Baca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA NICHOLLE BACA (NPI 1649109364) is an individual peer specialist in Albuquerque, New Mexico, licensed in New Mexico (2076) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1649109364

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMIRANDA NICHOLLE BACA

Location Address2501 SAN PEDRO DRIVE NE #118Albuquerque, NM 87110-4131

Mailing Address2501 San Pedro Dr Ne # 118Albuquerque, NM 87110-4131 · (505) 249-3826 · Fax (505) 212-4610

Phone(505) 249-3826

Fax(505) 212-4610

Sole ProprietorNo

Enumeration DateMay 18, 2026

Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1649109364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NM · 2076

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

2501 SAN PEDRO DRIVE NE #118, Albuquerque, NM 87110

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Other Identifiers 1

MedicaidN0066580NM

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Baca's NPI number?

The NPI number for Miranda Baca is 1649109364. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Miranda Baca located?

Miranda Baca practices at 2501 San Pedro Drive NE #118, Albuquerque, NM 87110. The listed phone number is (505) 249-3826.

What is Miranda Baca's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Miranda Baca was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.