Active NPI
Janice Ulibarri
- Community Health Worker
- Santa Rosa, NM
National Provider Identifier
1235926643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- G-1763
- Practice address
- 117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267 - Phone
- (575) 472-4311
- Fax
- (877) 651-0289
- NPI assigned
- Apr 21, 2025
- 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 | G-1763 | NM | Primary |
Addresses
Primary practice location
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Mailing address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.sanchez@sunrisenm.org | Direct | Sunrise Clinics |
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-1763 | NM | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1235926643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 CAMINO DE VIDA STE 300",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352267",
"telephone_number": "575-472-4311",
"fax_number": "877-651-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 CAMINO DE VIDA STE 300",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352267",
"telephone_number": "575-472-4311",
"fax_number": "877-651-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULIBARRI",
"first_name": "JANICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "G-1763",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.sanchez@sunrisenm.org",
"affiliation": "Y",
"endpointDescription": "Credentialing",
"affiliationName": "Sunrise Clinics",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "117 Camino De Vida Ste 300",
"city": "Santa Rosa",
"state": "NM",
"country_code": "US",
"postal_code": "884352267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Rosa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.