Active NPI
Autumn Trujillo, RN
- School Registered Nurse
- Jemez Pueblo, NM
National Provider Identifier
1730940230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 60743
- Practice address
- 8501 Highway 4
Jemez Pueblo, NM 87024-9609 - Phone
- (575) 834-7391
- NPI assigned
- Jan 22, 2024
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 60743 | NM | Primary |
Addresses
Primary practice location
8501 Highway 4
Jemez Pueblo, NM 87024-9609
Mailing address
40 Old Mill Rd
Ponderosa, NM 87044-9793
Phone (505) 508-9809
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60743 | NM | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1730940230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OLD MILL RD",
"city": "PONDEROSA",
"state": "NM",
"postal_code": "870449793",
"telephone_number": "505-508-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 HIGHWAY 4",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "870249609",
"telephone_number": "575-834-7391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "AUTUMN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "60743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jemez Pueblo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.