Nevaeh Pena

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

105 Bertha Rd Ste B
Taos, NM 87571-7148

Phone

(575) 758-4297

NPI assigned

Jan 9, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1720946775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MACEA RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BERTHA RD STE B",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717148",
            "telephone_number": "575-758-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "NEVAEH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Parra
• Patricia Passino, BMS
• Kathryn Ann Patrick, PHARM.D
• Natalie Christine Paynter, LPCC
• Richard Pelfrey, LMHC, LADAC
• Rachael Penn
• Daniel Peralta
• Christine J Perkowska, PA
• Regina Perryman, RN
• Sari Harmony Peterson, APRN-CNP

• Community Health Worker in Taos, NM
• Providers in Taos, 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 Apr 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.

Verify at the official NPI Registry.