Search › New Mexico › 172V00000X

Shannon Massey, CCHW

NPI 1558159343 · on the registry since 2025 · sole proprietor

Practice

Address
6401 Jefferson St Ne
Albuquerque, NM 87109
Phone
(505) 553-6964
Organisation at this address
Premise Health Of New Mexico Medical P C
Owens Administrative & Healthcare Support Services
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 4300 Blake Rd Sw, Albuquerque, NM
  • 1240 Bellamah Ave Nw, Albuquerque, NM

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico