Melissa Eleanor Trudell, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1538 Issued in NM

Practice address

1810 Inca Rd NE
Rio Rancho, NM 87124-5309

Phone

(505) 440-3063

Fax

(505) 892-8794

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1730376336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 VALLEY VISTA CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242862",
            "telephone_number": "505-440-3063",
            "fax_number": "505-892-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 INCA RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245309",
            "telephone_number": "505-440-3063",
            "fax_number": "505-892-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "MELISSA",
        "middle_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABMP",
            "identifier": "275119",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BOARD MASSAGE THERAPY",
            "identifier": "1538",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTMB",
            "identifier": "3359",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Trejo, P.T.
• Tri Dental, LLC (Sonrisa Family Dental- Rio Rancho)
• Louis F Trost, MD
• Richard Joseph Trotta Sr., LMSW
• Shannon Carryn Troutman, CCC-SLP
• Alyssa Rae Trujillo
• Desiree Trujillo
• Katelynn Brianna Trujillo
• Malerie Faith Trujillo
• Milan Trujillo, LMHC

• Specialist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.