Active NPI
Brittney Waquie
- Community Health Worker
- Jemez Pueblo, NM
National Provider Identifier
1750190054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 139-B Bear Head Canyon Rd
Jemez Pueblo, NM 87024 - Phone
- (575) 834-7207
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
139-B Bear Head Canyon Rd
Jemez Pueblo, NM 87024
Mailing address
139 Bear Head Canyon Rd Unit B
Jemez Pueblo, NM 87024-0776
Phone (575) 837-7207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417082215 | Other | NM | JEMEZ HEALTH CLINIC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1750190054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 BEAR HEAD CANYON RD UNIT B",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "870240776",
"telephone_number": "575-837-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139-B BEAR HEAD CANYON RD",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "87024",
"telephone_number": "575-834-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAQUIE",
"first_name": "BRITTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-02",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"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": "JEMEZ HEALTH CLINIC",
"identifier": "1417082215",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jemez Pueblo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.