Individual provider Active NPI

Karla Rae Richardson-Trujillo, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1013492719
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994361 Issued in CO
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

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001096 CO Practitioner - Nurse Practitioner 4688903628 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0169437COMDGeneral Practice Registered Nurse
APN.0994361COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care Clinic Family CurrentSince Apr 1, 2020 Accepting new patients
Adult Medicine Specialists PC CurrentSince Jul 2, 2019 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.

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

Verify at the official NPI Registry.