Active NPI
Karla Rae Richardson-Trujillo, FNP
- Family Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1013492719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0994361
- Practice address
- 314 W 16TH St
Pueblo, CO 81003-2728 - Phone
- (719) 546-3511
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN.0169437 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0994361 | CO | Primary |
Addresses
Primary practice location
314 W 16TH St
Pueblo, CO 81003-2728
Mailing address
27800 E US Highway 50
Pueblo, CO 81006-9112
Phone (719) 406-5309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0169437 | CO | MD | General Practice Registered Nurse |
| APN.0994361 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Primary Care Clinic | Family | Current | Accepting new patients |
| Adult Medicine Specialists PC | Current | Accepting new patients |
Locations
131 S Main St
Ste 101
Pueblo, CO 81003
Phone (719) 924-9398
314 W 16th St
Pueblo, CO 81003
Phone (719) 546-3511
1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Pueblo, CO
- NPI 1316162464
-
- Family Nurse Practitioner
- Pueblo, CO
- NPI 1720385016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1013492719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 E US HIGHWAY 50",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810069112",
"telephone_number": "719-406-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032728",
"telephone_number": "719-546-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON-TRUJILLO",
"first_name": "KARLA",
"middle_name": "RAE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CO",
"license": "RN.0169437",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0994361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.