Active NPI
Ginger Shannon, CPSW CSSS
- Peer Specialist
- Albuquerque, NM
National Provider Identifier
1609412253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 400 Gold Ave SW Ste 1300
Albuquerque, NM 87102-3274 - Phone
- (505) 738-5908
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary | ||
| Community Health Worker | 172V00000X | NM |
Addresses
Primary practice location
400 Gold Ave SW Ste 1300
Albuquerque, NM 87102-3274
Mailing address
303 N Alameda Blvd
Las Cruces, NM 88005-2590
Phone (575) 523-0111
Other practice location 1
303 N Alameda Blvd
Las Cruces, NM 88005-2590
Phone (575) 523-0111
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels With Broken Wings NM Inc | Current | Accepting new patients | |
| Angels With Broken Wings | Current | Accepting new patients | |
| Rydan Solutions Inc | Current | Accepting new patients | |
| Rydan Solutions Inc | Past | Accepting new patients |
Locations
303 N Alameda Blvd
Las Cruces, NM 88005
Phone (575) 523-0111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Lodging Provider
- Las Cruces, NM
- NPI 1710619721
-
- Community/Behavioral Health Agency
- Las Cruces, NM
- NPI 1457285215
-
- Substance Abuse Rehabilitation Facility
- Las Cruces, NM
- NPI 1245904879
-
- Substance Abuse Rehabilitation Facility
- Las Cruces, NM
- NPI 1386139780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1609412253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N ALAMEDA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052590",
"telephone_number": "575-523-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GOLD AVE SW STE 1300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023274",
"telephone_number": "505-738-5908"
}
],
"practiceLocations": [
{
"address_1": "303 N Alameda Blvd",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880052590",
"country_code": "US",
"telephone_number": "575-523-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "GINGER",
"credential": "CPSW CSSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": null,
"primary": false
}
],
"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 Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.