Active NPI
Shaynell Ross
- Community Health Worker
- Santa Teresa, NM
National Provider Identifier
1104752286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210 - Phone
- (575) 915-1338
- Fax
- (575) 915-1819
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NM | Primary |
Addresses
Primary practice location
5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Mailing address
2821 Palo Verde Dr NE Apt a
Albuquerque, NM 87112-2106
Phone (469) 790-5085
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Family Services LLC | Past | Accepting new patients | |
| NM Family Services LLC | Community Health Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Sunland Park, NM
- NPI 1225426356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1104752286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 PALO VERDE DR NE APT A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122106",
"telephone_number": "469-790-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 RIO BRAVO DR STE 10",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089210",
"telephone_number": "575-915-1338",
"fax_number": "575-915-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SHAYNELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.