Nicole Montoya, CHW – Community Health Worker

Key facts

NPI: 1700622263
Entity type: Individual (NPI type 1)
Primary specialty: Community Health Worker 172V00000X
Practice address: 658 S 5TH St
Santa Rosa, NM 88435-2430
Phone: (575) 472-8032
Fax: (877) 651-0289
NPI assigned: Jul 3, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Sunrise Clinics Federally Qualified Health Center (FQHC) · Santa Rosa, NM · NPI 1093498396

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Sunrise Clinics		Current since Jul 7, 2024	Accepting new patients

Locations

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

658 S 5th St
Santa Rosa, NM 88435
Phone (575) 472-7747

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community Health Worker	172V00000X		NM	Yes

Addresses

Primary practice location

658 S 5TH St
Santa Rosa, NM 88435-2430

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	jessica.sanchez@sunrisnm.org	Direct	Sunrise Clinics

Other providers in Santa Rosa, NM

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.