Organization Active NPI

The Food Depot

  • Community Health Worker
  • Santa Fe, NM
National Provider Identifier
1295627628
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
THE FOOD DEPOT
Practice address
1222A Siler Rd Ste a
Santa Fe, NM 87507-3158
Phone
(505) 510-5782
Fax
(505) 510-5782
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Ms. Jill Dixon
Title
Executive Director
Phone
(505) 510-5782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X

Addresses

Primary practice location

1222A Siler Rd Ste a
Santa Fe, NM 87507-3158

Mailing address

1222A Siler Rd Ste a
Santa Fe, NM 87507-3158
Phone (505) 510-5782

National Provider Directory

National Provider Directory

Locations

1222 Siler Rd
Ste A
Santa Fe, NM 87507
Phone (505) 510-5782

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1295627628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222A SILER RD STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073158",
            "telephone_number": "505-510-5782",
            "fax_number": "505-510-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222A SILER RD STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073158",
            "telephone_number": "505-510-5782",
            "fax_number": "505-510-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOD DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-510-5782",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.