Shantel Benavidez
Individual provider Active NPI Peer Specialist · Santa Fe, NM
NPI 1093670978 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1093670978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903 - Phone
- (505) 983-8225
- NPI assigned
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Spirit Awakenings LLC | Current |
Accepting new patients |
Locations
4001 Office Court Dr
Ste 102
Santa Fe, NM 87507
Phone (505) 395-9437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903
Mailing address
4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903
Phone (505) 983-8225
Other providers in Santa Fe, NM
- Owen Belt
- Jana Rose Benad
- Ann Marie M Benavidez
- Felisha Benavidez
- Felix Benavidez
- Eric V Bendixen
- Kathleen Benecke
- Deborah Benenson
- Kimberly M Benigsohn
- Nancy Benigsohn
All providers in Santa Fe, NM · Peer Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.