Active NPI
Rancho Rios Dominguez
- Community Health Worker
- Chamberino, NM
National Provider Identifier
1093689713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.