Active NPI
Diana M Gonzales-Pacheco, LD
- Registered Dietitian
- Santa Fe, NM
National Provider Identifier
1871581785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 210
- Practice address
- 1035 Alto St
Santa Fe, NM 87501-2406 - Phone
- (505) 982-6241
- Fax
- (505) 982-6280
- NPI assigned
- Oct 13, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 210 | NM | Primary |
Addresses
Primary practice location
1035 Alto St
Santa Fe, NM 87501-2406
Mailing address
1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-6241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35701889 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871581785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 ALTO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012406",
"telephone_number": "505-982-6241",
"fax_number": "505-982-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 ALTO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012406",
"telephone_number": "505-982-6241",
"fax_number": "505-982-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES-PACHECO",
"first_name": "DIANA",
"middle_name": "M",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35701889",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.