Active NPI
Estela Tenorio-Thompson
- Community Health Worker
- Santa Rosa, NM
National Provider Identifier
1538024377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- G-1942
- Practice address
- 117 Camino de Vida Ste 100
Santa Rosa, NM 88435-2267 - Phone
- (575) 472-3417
- Fax
- (575) 541-3649
- NPI assigned
- Dec 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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-1942 | NM | Primary |
Addresses
Primary practice location
117 Camino de Vida Ste 100
Santa Rosa, NM 88435-2267
Mailing address
117 Camino de Vida Ste 100
Santa Rosa, NM 88435-2267
Phone (575) 472-3417
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-1942 | NM | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1538024377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 CAMINO DE VIDA STE 100",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352267",
"telephone_number": "575-472-3417",
"fax_number": "575-541-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 CAMINO DE VIDA STE 100",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352267",
"telephone_number": "575-472-3417",
"fax_number": "575-541-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENORIO-THOMPSON",
"first_name": "ESTELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-23",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "NM",
"license": "G-1942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 23, 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.