Active NPI
Melissa Nicole Trujillo Horton, M.D.
- Pediatrics Physician
- Norfolk, VA
National Provider Identifier
1700272242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101264058
- Practice address
- 601 Childrens LN
Norfolk, VA 23507 - Phone
- (757) 668-9763
- Fax
- (757) 668-9766
- NPI assigned
- Apr 10, 2015
- Last updated
- Jul 23, 2018
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101264058 | VA | Primary |
Addresses
Primary practice location
601 Childrens LN
Norfolk, VA 23507
Mailing address
1517 Debbs LN
Chesapeake, VA 23320-8209
Phone (786) 348-5756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264058 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Pediatrics | Current | Accepting new patients |
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Childrens Medical Group Inc | Pediatrics | Past | Accepting new patients |
Locations
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
dba General Booth Pediatrics
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
-
dba Town Center Pediatrics
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1649325242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1700272242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 DEBBS LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208209",
"telephone_number": "786-348-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CHILDRENS LN",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-668-9763",
"fax_number": "757-668-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "MELISSA",
"middle_name": "NICOLE TRUJILLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101264058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.