Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Tristine Hickman

Individual provider Community Health Worker · NPI 1508233743

Ryan Tristine Hickman is a Community Health Worker in Los Lunas, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015

Practice location Address checks out

1052 Main St NE Ste D
Los Lunas, NM 87031-7436
Phone: (505) 865-4140
Fax: (505) 865-4938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NM)

Record details

NPI number1508233743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2015
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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