Individual provider Active NPI

Fabiola Beatriz Trujillo Rodriguez

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1568303238
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024270 Issued in NC
Practice address
1899 Tate Blvd SE # 2110
Hickory, NC 28602-4200
Phone
(828) 328-4449
NPI assigned
Apr 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 5024270 NC Primary

Addresses

Primary practice location

1899 Tate Blvd SE # 2110
Hickory, NC 28602-4200

Mailing address

314 Beacon Hills Dr
Gastonia, NC 28056-8369
Phone (980) 339-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260515002445 NC Practitioner - Nurse Practitioner 3779052097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1899 Tate Blvd SE
Suite 2110
Hickory, NC 28602-4200
Phone (828) 328-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5024270NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Apr 5, 2026 Accepting new patients
Skin Surgery Center PA PastSince Apr 5, 2026 Accepting new patients

Locations

1899 Tate Blvd SE
Ste 2110
Hickory, NC 28602
Phone (828) 328-4449

1899 Tate Blvd SE
Ste 1111
Hickory, NC 28602
Phone (828) 328-4449

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1568303238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BEACON HILLS DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568369",
            "telephone_number": "980-339-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE # 2110",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-328-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO RODRIGUEZ",
        "first_name": "FABIOLA",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.