Jason Storey

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

G1952 Issued in NM

Practice address

117 Camino de Vida Ste 100
Santa Rosa, NM 88435-2267

Phone

(575) 472-3417

Fax

(575) 541-3649

NPI assigned

Feb 16, 2026

Last updated

Feb 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1659224145",
    "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": "STOREY",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "G1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Medical Clinic
• Donna R Silva, BMS
• Victoria N Silva, BMS
• Rita R Smith, BMS
• Adrian Soliz, BMS
• Samantha Sullivan
• Sunrise Clinics (Sunrise Clinics - Santa Rosa High SBHC)
• Sunrise Clinics (Sunrise Clinics - Santa Rosa Elementary SBHC)
• Sunrise Clinics
• Sunrise Clinics (Sunrise Clinics - Santa Rosa Middle SBHC)

• Community Health Worker in Santa Rosa, NM
• Providers in Santa Rosa, 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 Feb 16, 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.

Verify at the official NPI Registry.