Individual provider Active NPI

Christina Urrutia, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1417464223
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP10868 Issued in AZ
Practice address
1965 W 24TH St Ste a
Yuma, AZ 85364-6255
Phone
(928) 344-5774
Fax
(928) 344-5779
NPI assigned
Jan 2, 2018
Last updated
May 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP10868 AZ Primary

Addresses

Primary practice location

1965 W 24TH St Ste a
Yuma, AZ 85364-6255

Mailing address

690 W. Jackson Street
PO Box 4039
Somerton, AZ 85350
Phone (928) 446-8914

Other practice location 1

11142 S Scottsdale Dr
Yuma, AZ 85367-5616
Phone (928) 336-1815

Other practice location 2

2500 S 8th Ave Ste 200
Yuma, AZ 85364-7158
Phone (928) 336-7095

Other identifiers 1

IdentifierTypeStateIssuer
476981MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20181029003221 AZ Practitioner - Nurse Practitioner 1759634363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

1965 W 24TH St
Suite a
Yuma, AZ 85364-6255
Phone (928) 344-5774

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TAP10868AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince May 1, 2020 Accepting new patients

Locations

11142 S Scottsdale Dr
Yuma, AZ 85367
Phone (928) 336-1815

1965 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 344-5774

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2500 S 8th Ave
Ste 200
Yuma, AZ 85364
Phone (928) 336-7095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1417464223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 W. JACKSON STREET",
            "address_2": "PO BOX 4039",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "85350",
            "telephone_number": "928-446-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 W 24TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646255",
            "telephone_number": "928-344-5774",
            "fax_number": "928-344-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11142 S Scottsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675616",
            "country_code": "US",
            "telephone_number": "928-336-1815",
            "fax_number": "928-342-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S 8th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647158",
            "country_code": "US",
            "telephone_number": "928-336-7095",
            "fax_number": "928-336-7265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "CHRISTINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP10868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476981",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.