Individual provider Active NPI

Cristina L Rascon

  • Community Health Worker
  • Albuquerque, NM
National Provider Identifier
1447055751
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
G-1697 Issued in NM
Practice address
801 Encino PL NE Ste a
Albuquerque, NM 87102-2612
Phone
(505) 925-1133
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X G-1697 NM Primary

Addresses

Primary practice location

801 Encino PL NE Ste a
Albuquerque, NM 87102-2612

Mailing address

801 Encino PL NE Ste a
Albuquerque, NM 87102-2612
Phone (505) 925-1133

Other practice location 1

4014 Wallace St SE
Albuquerque, NM 87105-0660
Phone (505) 340-9021

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

LicenseStateTypeSpecialty
G-1697NMMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1447055751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022612",
            "telephone_number": "505-925-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022612",
            "telephone_number": "505-925-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Wallace St SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871050660",
            "country_code": "US",
            "telephone_number": "505-340-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCON",
        "first_name": "CRISTINA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "G-1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

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

Verify at the official NPI Registry.