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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NEW MEXICO WIC PROGRAM
NPI 1376464594
Public Health or Welfare in Santa Fe, NM

Active since July 23, 2026
2040 S PACHECO ST, SANTA FE, NM 87505(505) 476-8800(505) 476-8900 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About New Mexico Wic Program NPPES

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

NEW MEXICO WIC PROGRAM (NPI 1376464594) is a healthcare organization registered as a public health or welfare in Santa Fe, New Mexico and active in the NPI registry since July 2026. The organization lists Michelle D Cisneros, Medicaid Managed Care Contracts, as its authorized official.

NPPES Registry Identity

NPI1376464594
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameNEW MEXICO WIC PROGRAM
Location Address2040 S PACHECO STSanta Fe, NM 87505-5472
Mailing Address2040 S Pacheco StSanta Fe, NM 87505-5472 · (505) 476-8800 · Fax (505) 476-8900
Phone(505) 476-8800
Fax(505) 476-8900
Organization SubpartYesParent: State Of New Mexico
Authorized OfficialMichelle D CisnerosMedicaid Managed Care Contracts · (505) 623-1256
Enumeration DateJuly 23, 2026
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1376464594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
2040 S PACHECO ST, Santa Fe, NM 87505
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Other Providers at the Same Location NPPES 6

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

CHILDREN'S MEDICAL SERVICES
Public Health or Welfare
2040 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 476-8863
WANICHA BURAPHACHEEP-COGGINS M.D.
Pediatrics (Pediatric Infectious Diseases)
2040 S PACHECO ST, NM DOH FAMILY PLANNING PROGRAM
SANTA FE, NM 87505
Santa Fe County (505) 476-8870
STATE OF NEW MEXICO
Case Management
2040 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 476-8868
MATERNAL HEALTH PROGRAM
Clinic/Center (Public Health, State or Local)
2040 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 476-8909
CHILDREN'S MEDICAL SERVICES
Case Management
2040 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 476-8868
SUSAN MARIE CHACON MSW, LISW
Social Worker
2040 S PACHECO ST
SANTA FE, NM 87505
Santa Fe County (505) 476-8860

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 New Mexico Wic Program's NPI number?

The NPI number for New Mexico Wic Program is 1376464594. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is New Mexico Wic Program located?

New Mexico Wic Program is located at 2040 S Pacheco St, Santa Fe, NM 87505. The listed phone number is (505) 476-8800.

What is New Mexico Wic Program's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for New Mexico Wic Program was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.