Leanna M Gaisthia, COMMUNITY HEALTH WOR

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

S1-15023 Issued in NM

Practice address

1423 E Roosevelt Ave
Grants, NM 87020

Phone

(505) 287-6500

Fax

(505) 287-5393

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1023850690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BONITA AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "87020",
            "telephone_number": "505-287-6500",
            "fax_number": "505-287-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "87020",
            "telephone_number": "505-287-6500",
            "fax_number": "505-287-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAISTHIA",
        "first_name": "LEANNA",
        "middle_name": "M",
        "credential": "COMMUNITY HEALTH WOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "S1-15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Grants, NM
• Providers in Grants, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.