Jessie Gallegos
Individual provider Active NPI Community Health Worker · Fort Sumner, NM
NPI 1508698192 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1508698192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 225 E Avenue C
Fort Sumner, NM 88119 - Phone
- (575) 355-5384
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
225 E Avenue C
Fort Sumner, NM 88119
Mailing address
1047 Lake Dr
Santa Rosa, NM 88435-2561
Phone (575) 472-5383
Other providers in Fort Sumner, NM
- Desert Hope Wellness LLC
- Marie Alice Dickerman
- Daryl Ensz
- Fort Sumner Schools
- Debra Gallegos
- Mary Elizabeth Hetsko
- Dorene Jaramillo
- Darlene G Jenkins
- Mary M Kenyon
- Candace M Kernell
All providers in Fort Sumner, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.