Katrina Ann Padilla

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

Rio Arriba County/ HHS Attn: Katrina Padilla
1122 Industrial Park Rd.
Espanola, NM 87532-1279

Phone

(505) 310-8937

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1700577202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIO ARRIBA COUNTY/ HHS ATTN: KATRINA PADILLA",
            "address_2": "1122 INDUSTRIAL PARK RD.",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875321279",
            "telephone_number": "505-310-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIO ARRIBA COUNTY/ HHS ATTN: KATRINA PADILLA",
            "address_2": "1122 INDUSTRIAL PARK RD.",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875321279",
            "telephone_number": "505-310-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPSW",
            "identifier": "1389",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Vincent Ortiz
• Guillermina Osoria, LICENSED INSURANCE,
• Ruth Mary Oswood, LPCC
• Suzanne Otter, MA
• Daisy Pacheco, RDH
• Damien Salvatore Passalacqua, D.C.
• Jonathan C Peachey, CFNP
• Bailey Pearson, FNP-C
• Michelle Peixinho, LMSW, LM, CPM
• Lucie Margaret Hamel Pepper, BA

• Community Health Worker in Espanola, NM
• Providers in Espanola, 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 May 16, 2023; 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.