Linda Pearl Trujillo

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

623 Tralee Dr
Smithfield, NC 27577

Phone

(919) 464-8112

Fax

(919) 300-1288

NPI assigned

May 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Playtime 4 Kidz Therapy, LLC

  • Early Intervention Provider Agency
  • Smithfield, NC
  • NPI 1710484316
  NPD (past) Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1407203318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 TRALEE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779664",
            "telephone_number": "919-464-8112",
            "fax_number": "919-300-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 TRALEE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-464-8112",
            "fax_number": "919-300-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "LINDA",
        "middle_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri County Community Health Council Inc
• Triangle East Surgery P a
• Triangle Premier Women's Health, P.a.
• Lauren Wilson Trogdon, ITFS
• Paul A Trottman, MD
• Kayla Turconi, PA-C
• Mary A Tyndall, CPT
• Samantha Tyson
• Abm Enayet Ullah, M.D.
• Ultimate Family Care Home Inc.

• Community/Behavioral Health Agency in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.