Shannon Dee Massey, CCHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

G-1772 Issued in NM

Practice address

6401 Jefferson St NE
Albuquerque, NM 87109-4376

Phone

(505) 553-6964

NPI assigned

Apr 30, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1558159343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 TWILIGHT RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242678",
            "telephone_number": "505-553-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094376",
            "telephone_number": "505-553-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Blake Rd SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871215179",
            "country_code": "US",
            "telephone_number": "505-553-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Bellamah Ave NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871042133",
            "country_code": "US",
            "telephone_number": "505-553-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "SHANNON",
        "middle_name": "DEE",
        "credential": "CCHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "G-1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Lee Mason, D.C.
• Tyler Paul Mason, MOTR/L
• Uva Mason
• William Van Horn Mason, MD
• Collin A Massey, LPCC
• Tristan Massey
• Larry Wayne Massie, M.D.
• Pierce Massie, MD
• Barbara Jean Masten, PHD
• Tracey Master

• Community Health Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.