IndividualActive
Jason Storey
NPI 1659224145 · Community Health Worker · Santa Rosa, NM
Provider details
- NPI number
- 1659224145
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- G1952 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
117 Camino De Vida Ste 100
Santa Rosa, NM 88435-2267
Phone: (575) 472-3417
Fax: (575) 541-3649
Approximate (ZIP-level) locationGet directions
Mailing address
117 Camino De Vida Ste 100
Santa Rosa, NM 88435-2267
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.