Jayme Shelly Trujillo, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R46789 Issued in NM

Practice address

323 S 5TH St
Clayton, NM 88415-2641

Phone

(575) 374-9611

Fax

(575) 374-9881

NPI assigned

Dec 13, 2017

Last updated

Dec 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1174038103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ASPEN ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884152211",
            "telephone_number": "575-374-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S 5TH ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884152641",
            "telephone_number": "575-374-9611",
            "fax_number": "575-374-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JAYME",
        "middle_name": "SHELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R46789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason A. Stroope, BMS
• Brenda Dee Tanner, LPC
• Teambuilders Behavioral Health, LLC
• Town of Clayton (Clayton Fire & Rescue)
• Alexandria Trujillo, BMS
• Krista R. Trujillo, BMS
• Union County Medical Center Inc
• Mark Edward Van Wormer, MD
• Emily P Weese, RN
• Hannah Beck Wells, LCSW

• School Registered Nurse in Clayton, NM
• Providers in Clayton, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.