Individual provider Active NPI

Merry Christine Trujillo, EMT-I

  • Intermediate Emergency Medical Technician
  • McDermitt, NV
National Provider Identifier
1235484262
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
20294 Issued in NV
Practice address
20 Olavarria Street
MC Dermitt, NV 89421-0297
Phone
(775) 532-8530
Fax
(775) 532-8531
NPI assigned
Jul 16, 2012
Last updated
Jul 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 20294 NV Primary
Intermediate Emergency Medical Technician 146M00000X I0702286 NU

Addresses

Primary practice location

20 Olavarria Street
MC Dermitt, NV 89421-0297

Mailing address

PO Box 297
20 Olavarria Street
MC Dermitt, NV 89421-0297
Phone (775) 532-8530

Other names 1

  • Christy Truijillo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20294NVMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1235484262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "address_2": "20 OLAVARRIA STREET",
            "city": "MC DERMITT",
            "state": "NV",
            "postal_code": "894210297",
            "telephone_number": "775-532-8530",
            "fax_number": "775-532-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLAVARRIA STREET",
            "city": "MC DERMITT",
            "state": "NV",
            "postal_code": "894210297",
            "telephone_number": "775-532-8530",
            "fax_number": "775-532-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "MERRY",
        "middle_name": "CHRISTINE",
        "credential": "EMT-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NV",
            "license": "20294",
            "primary": true
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NU",
            "license": "I0702286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "TRUIJILLO",
            "credential": "EMIT-I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McDermitt, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.