Individual provider Active NPI

Christina Dawn Trujillo, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1780856856
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2995 Issued in AZ
Practice address
3945 E Paradise Falls Dr Ste 201
Tucson, AZ 85712-6687
Phone
(520) 570-1234
Fax
(520) 615-6255
NPI assigned
Mar 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 AP2995 AZ Primary

Addresses

Primary practice location

3945 E Paradise Falls Dr Ste 201
Tucson, AZ 85712-6687

Mailing address

66 E Camino Rancho Felice
Sahuarita, AZ 85629-8954
Phone (520) 444-2133

Other identifiers 2

IdentifierTypeStateIssuer
AP2995OtherAZFNP
F0208097OtherAANP CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080521000012 AZ Practitioner - Nurse Practitioner 6608945357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Family Practice Team PCGroup PAC ID 5395734032, 4 clinicians

Practice addresses (Care Compare)

2051 Evergreen LN
Suite D
Show Low, AZ 85901-7928
Phone (928) 537-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2995AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Practice Team PC CurrentSince Dec 20, 2014 Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients

Locations

2051 Evergreen Ln
Ste D
Show Low, AZ 85901
Phone (800) 300-3027

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16163/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christina.trujillo.1@16163.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780856856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E CAMINO RANCHO FELICE",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298954",
            "telephone_number": "520-444-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-570-1234",
            "fax_number": "520-615-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "CHRISTINA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "AP2995",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F0208097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.