Individual provider · Type 1 NPI

Miranda Nicholle Baca

Peer Specialist · Albuquerque, NM

NPI number 1649109364 Active

Practice location

2501 San Pedro Drive NE #118
Albuquerque, NM 87110-4131

Call (505) 249-3826 Map

Fax (505) 212-4610

Mailing address

2501 San Pedro Dr NE # 118
Albuquerque, NM 87110-4131

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Peer Specialist Primary	175T00000X	2076 (NM)
Community Health Worker	172V00000X	None listed

Peer Specialist: 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.

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About NPI 1649109364

Miranda Nicholle Baca's National Provider Identifier is 1649109364, issued on May 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 22, 2026.