Jessica Michelle Cano

Key facts

NPI

1699540468

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210

Phone

(575) 915-1338

NPI assigned

Nov 21, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• NM Family Services LLC Physical Therapist · Santa Teresa, NM · NPI 1649697657
  NPD COMMUNITY HEALTH WORKER
• NM Integrated Solutions Multi-Specialty Clinic/Center · Las Cruces, NM · NPI 1063147270
  NPD COMMUNITY HEALTH WORKER
• NM Family Services LLC Psychologist · Sunland Park, NM · NPI 1225426356
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2023.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1699540468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2523",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880632523",
            "telephone_number": "575-915-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 RIO BRAVO DR STE 10",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089210",
            "telephone_number": "575-915-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5690 Santa Teresita Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880089211",
            "country_code": "US",
            "telephone_number": "575-915-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANO",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

• Maria Lourdes Burciaga, MA, LMHC
• Anabel Bustos
• Ricardo Cadena Jr., PTA
• Henry Calderoni, MD
• Gabriela Cangas
• Stephanie A Capshaw, OTR
• Ami Carmona
• Mia Carmona
• Odalis Alondra Carmona
• Noemi Kleine Carreon

All providers in Santa Teresa, NM · Community Health Worker in New Mexico