Active NPI
Justina A Trott, MD
- Internal Medicine Physician
- Santa Fe, NM
National Provider Identifier
1457384695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NM 75-260
- Practice address
- 901 W Alameda St
Suite 25
Santa Fe, NM 87501-1681 - Phone
- (505) 988-8869
- Fax
- (505) 955-9460
- NPI assigned
- Jul 9, 2006
- Last updated
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NM 75-260 | NM | Primary |
Addresses
Primary practice location
901 W Alameda St
Suite 25
Santa Fe, NM 87501-1681
Mailing address
901 W Alameda St
Suite 25
Santa Fe, NM 87501-1681
Phone (505) 988-8869
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02915 | Medicaid | NM | |
| NM003169 | Other | NM | BLUE CROSS |
| 27004 | Other | NM | PRESBYTERIAN HEALTH PLAN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 75-260 | NM | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1457384695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W ALAMEDA ST",
"address_2": "SUITE 25",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011681",
"telephone_number": "505-988-8869",
"fax_number": "505-955-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W ALAMEDA ST",
"address_2": "SUITE 25",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011681",
"telephone_number": "505-988-8869",
"fax_number": "505-955-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTT",
"first_name": "JUSTINA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "NM 75-260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02915",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NM003169",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "27004",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.