SHELBY L JACKSON CHW
NPI 1508652678
Community Health Worker in Gallup, NM

Active since April 16, 2025
2111 COLLEGE DR, GALLUP, NM 87301(505) 397-5172(505) 397-5172 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby L Jackson Chw NPPES

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

SHELBY L JACKSON CHW (NPI 1508652678) is an individual community health worker in Gallup, New Mexico, licensed in New Mexico (S1-1776) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1508652678
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameSHELBY L JACKSONCredential: CHW
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 397-5172 · Fax (505) 397-5172
Fax(505) 397-5172
Sole ProprietorYes
Enumeration DateApril 16, 2025
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
NPI 1508652678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License Licensed in NM · S1-1776
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedDoulaTaxonomy 374J00000X · License 0018-2025 (NM)
2111 COLLEGE DR, Gallup, NM 87301

Other Providers at the Same Location NPPES 20

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

Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301

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 Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1508652678. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Shelby Jackson located?

Shelby Jackson practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 397-5172.

What is Shelby Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Shelby Jackson was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.