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Chantelle Deitrich

NPI 1104544386ActiveIndividual· Community Health Worker· Taos, NM

Community Health Worker in Taos, New Mexico, with an NPI issued in August 2022.

Overview

NPI1104544386
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 15, 2022
Last updated in NPPESOct 26, 2026
Certified by providerOct 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Community Health Worker Primary172V00000X——
Peer Specialist175T00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community Health Worker providers in Taos

All Community Health Worker providers in New Mexico →