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NAMBE PUEBLO
NPI 1073110920
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pueblo Of Nambe, NM

Active since October 05, 2020
16A TAYEH HUU U, PUEBLO OF NAMBE, NM 87506(505) 455-5591 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, May 23, 2022, Oct 29, 2020 and 1 more (4 updates tracked since 2020).

About Nambe Pueblo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAMBE PUEBLO (NPI 1073110920) is a healthcare organization registered as a mental health (including community mental health center) in Pueblo Of Nambe, New Mexico and active in the NPI registry since October 2020. The organization lists Ryan Martinez, Program Director, as its authorized official.

NPPES Registry Identity

NPI1073110920
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNAMBE PUEBLO
Location Address16A TAYEH HUU UPueblo Of Nambe, NM 87506
Mailing Address15a Bay PoeSanta Fe, NM 87506-2731 · (505) 455-5591
Phone(505) 455-5591
Organization SubpartNo
Authorized OfficialRyan MartinezProgram Director · (505) 455-5591
Enumeration DateOctober 5, 2020
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1073110920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
16A TAYEH HUU U, Pueblo Of Nambe, NM 87506
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Other Names 1

Other NameTewa Roots Society

Other Identifiers 1

Medicaid39059839NM

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY TRESSEL
Counselor (Mental Health)
16A TAYEH HUU U
NAMBE PUEBLO, NM 87506
Santa Fe County (505) 391-9821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nambe Pueblo's NPI number?

The NPI number for Nambe Pueblo is 1073110920. It was assigned to this organization in the NPPES registry on October 5, 2020. The provider is also known as Tewa Roots Society.

Where is Nambe Pueblo located?

Nambe Pueblo is located at 16A Tayeh Huu U, Pueblo Of Nambe, NM 87506. The listed phone number is (505) 455-5591.

What is Nambe Pueblo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Nambe Pueblo was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.