Active NPI
Yadison Trujillo
- Registered Nurse
- Pembroke Pines, FL
National Provider Identifier
1659158608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9351452
- Practice address
- 19330 NW 5TH St
Pembroke Pines, FL 33029-3245 - Phone
- (786) 558-6587
- NPI assigned
- Sep 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9351452 | FL | Primary |
Addresses
Primary practice location
19330 NW 5TH St
Pembroke Pines, FL 33029-3245
Mailing address
19330 NW 5TH St
Pembroke Pines, FL 33029-3245
Phone (786) 558-6587
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9351452 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Group Home Health LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Attendant Care Provider
- Miami Lakes, FL
- NPI 1942053103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1659158608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19330 NW 5TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293245",
"telephone_number": "786-558-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19330 NW 5TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293245",
"telephone_number": "786-558-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "YADISON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9351452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.