Active NPI
Christal Medina
- Social Worker
- Chaparral, NM
National Provider Identifier
1730063025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2025-0484
- Practice address
- 320 McCombs Rd Ste C
Chaparral, NM 88081-7965 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Aug 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SWB-2025-0484 | NM | Primary |
Addresses
Primary practice location
320 McCombs Rd Ste C
Chaparral, NM 88081-7965
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2025-0484 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1730063025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2671",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880212671",
"telephone_number": "575-882-5100",
"fax_number": "575-882-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 MCCOMBS RD STE C",
"city": "CHAPARRAL",
"state": "NM",
"postal_code": "880817965",
"telephone_number": "575-882-5100",
"fax_number": "575-882-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CHRISTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "SWB-2025-0484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaparral, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.