Nicolette Cristina Gallegos

Individual provider Active NPI Community Health Worker · Santa Teresa, NM

NPI 1861334401 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1861334401
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Phone
(575) 915-1338
Fax
(575) 915-1819
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC Community Health Worker Past
since Mar 1, 2020
Accepting new patients
NM Integrated Solutions Community Health Worker Past
since Jul 24, 2022
Accepting new patients
NM Family Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210

Mailing address

PO Box 2523
Sunland Park, NM 88063-2523
Phone (575) 915-1338

Other providers in Santa Teresa, NM

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

Sources for this page

Verify at the official NPI Registry.