Organization Active NPI

Rancho Rios Dominguez

  • Community Health Worker
  • Chamberino, NM
National Provider Identifier
1093689713
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
RANCHO RIOS DOMINGUEZ
Practice address
230 El Pescado Rd
Chamberino, NM 88027-9005
Phone
(575) 621-5913
NPI assigned
Oct 4, 2025
Last updated
Oct 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Authorized official

Name
Mrs. Jessie Joanne Rios, CBEIP
Title
Instructor Coach
Phone
(575) 621-5913

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Worker 172V00000X Primary
Local Education Agency (LEA) 251300000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

230 El Pescado Rd
Chamberino, NM 88027-9005

Mailing address

PO Box 163
Chamberino, NM 88027-0163
Phone (575) 621-5913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1093689713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "CHAMBERINO",
            "state": "NM",
            "postal_code": "880270163",
            "telephone_number": "575-621-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EL PESCADO RD",
            "city": "CHAMBERINO",
            "state": "NM",
            "postal_code": "880279005",
            "telephone_number": "575-621-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO RIOS DOMINGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "INSTRUCTOR COACH",
        "authorized_official_telephone_number": "575-621-5913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CBEIP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberino, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.