Active NPI
Crossroads Community Health Clinic, Inc.
- Health Educator
- Taos, NM
National Provider Identifier
1912863465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.