Active NPI
Rachel Pyne
- Community Health Worker
- Taos, NM
National Provider Identifier
1164069662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- G-1676
- Practice address
- 205 Bertha Rd Ste B
Taos, NM 87571-5188 - Phone
- (575) 758-4297
- Fax
- (575) 751-7237
- NPI assigned
- Dec 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Community Health Worker | 172V00000X | G-1676 | NM | Primary |
Addresses
Primary practice location
205 Bertha Rd Ste B
Taos, NM 87571-5188
Mailing address
PO Box 127
Penasco, NM 87553-0127
Phone (575) 999-5796
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
| License | State | Type | Specialty |
|---|---|---|---|
| G-1676 | NM | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picuris Medical Center | Current | Accepting new patients | |
| Picuris Pueblo | Community Health Worker | Current | 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.
-
- Community/Retail Pharmacy
- Penasco, NM
- NPI 1467303685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1164069662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "PENASCO",
"state": "NM",
"postal_code": "875530127",
"telephone_number": "575-999-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BERTHA RD STE B",
"city": "TAOS",
"state": "NM",
"postal_code": "875715188",
"telephone_number": "575-758-4297",
"fax_number": "575-751-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYNE",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "G-1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.