Organization Active NPI

Crossroads Community Health Clinic, Inc.

  • Health Educator
  • Taos, NM
National Provider Identifier
1912863465
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CROSSROADS COMMUNITY HEALTH CLINIC, INC.
Practice address
630 Paseo del Pueblo Sur Ste 140
Taos, NM 87571-7002
Phone
(575) 224-2110
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Ms. Shana L Johnson
Title
Recovery Coach & Program Liaison
Phone
(575) 224-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

630 Paseo del Pueblo Sur Ste 140
Taos, NM 87571-7002

Mailing address

630 Paseo del Pueblo Sur Ste 140
Taos, NM 87571-7002
Phone (575) 224-2110

National Provider Directory

National Provider Directory

Locations

630 Paseo del Pueblo Sur
Ste 140
Taos, NM 87571
Phone (575) 201-3325

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1912863465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR STE 140",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717002",
            "telephone_number": "575-224-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASEO DEL PUEBLO SUR STE 140",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717002",
            "telephone_number": "575-224-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COMMUNITY HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RECOVERY COACH & PROGRAM LIAISON",
        "authorized_official_telephone_number": "575-224-2110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.