Individual provider Active NPI

Estefanita L. Calabaza

  • Community Health Worker
  • Santo Domingo Pueblo, NM
National Provider Identifier
1063374734
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
S1-1886 Issued in NM
Practice address
18 Eagle CT
Santo Domingo Pueblo, NM 87052-1230
Phone
(505) 465-2733
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X S1-1886 NM Primary

Addresses

Primary practice location

18 Eagle CT
Santo Domingo Pueblo, NM 87052-1230

Mailing address

PO Box 396
Santo Domingo Pueblo, NM 87052-0396
Phone (505) 465-2733

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
S1-1886NMMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Santo Domingo Pueblo Community Health Worker PastSince Dec 7, 2025 Accepting new patients

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1063374734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520396",
            "telephone_number": "505-465-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAGLE CT",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870521230",
            "telephone_number": "505-465-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABAZA",
        "first_name": "ESTEFANITA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "S1-1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santo Domingo Pueblo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.