Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Renee Lackey, APRN

Individual provider Nurse Practitioner · NPI 1104122647

Lisa Renee Lackey, APRN is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2010, 16 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico and Nevada.

Years since qualifying
16
Licensed in
NM, NV
In the registry since
2011
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone: (505) 727-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1423 E Roosevelt Ave, Grants, NM 87020-2245 — (505) 287-6500
  • 56 N Pecos Rd, Henderson, NV 89074-7331 — (702) 877-5199

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-01735 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence 818418 (NV)

Record details

NPI number1104122647
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedFebruary 1, 2011
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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