Individual provider Active NPI

Jessica Urioste, CHW

  • Community Health Worker
  • Tucumcari, NM
National Provider Identifier
1912740531
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1001 S 7TH Street
Tucumcari, NM 88435
Phone
(575) 403-5720
Fax
(888) 708-0683
NPI assigned
Jun 13, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NM Primary

Addresses

Primary practice location

1001 S 7TH Street
Tucumcari, NM 88435

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Other practice location 1

1000 S 5th Street
Tucumcari, NM 88401
Phone (575) 403-5720

Other practice location 2

1623 S. 9th Street
Tucumcari, NM 88401
Phone (575) 403-5720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct Sunrise Clinics

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics CurrentSince Jun 16, 2024 Accepting new patients
Sunrise Clinics PastSince Aug 27, 2023 Accepting new patients

Locations

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1912740531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 7TH STREET",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "88435",
            "telephone_number": "575-403-5720",
            "fax_number": "888-708-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S 5th Street",
            "address_purpose": "LOCATION",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "88401",
            "country_code": "US",
            "telephone_number": "575-403-5720",
            "fax_number": "888-708-0683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1623 S. 9th Street",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "88401",
            "country_code": "US",
            "telephone_number": "575-403-5720",
            "fax_number": "888-708-0683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIOSTE",
        "first_name": "JESSICA",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisnm.org",
            "affiliation": "Y",
            "endpointDescription": "Credentialing",
            "affiliationName": "Sunrise Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 Camino De Vida Ste 300",
            "city": "Santa Rosa",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884352267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.