Individual provider Active NPI

Amanda Jane Trujillo-Ruedas

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1801689708
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1203974 Issued in TX
Practice address
8000 W Ih 10 Ste 201
San Antonio, TX 78230-3879
Phone
(210) 944-4133
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 939625 TX
Primary Care Nurse Practitioner 363LP2300X 1203974 TX Primary

Addresses

Primary practice location

8000 W Ih 10 Ste 201
San Antonio, TX 78230-3879

Mailing address

8000 W Ih 10 Ste 201
San Antonio, TX 78230-3879
Phone (210) 944-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250814001497 TX Practitioner - Nurse Practitioner 6901313519 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Physician Housecalls PAGroup PAC ID 9032653563, 12 clinicians

Practice addresses (Care Compare)

8000 W Interstate 10
Suite 201
San Antonio, TX 78230-3879
Phone (720) 923-1250

Hospital & facility affiliations

  • Adventia Healthcare Associates, Inc Home health agency, Castroville, TX, CCN 679553
  • Theracare Home Health Home health agency, San Antonio, TX, CCN 677248
  • Patriot Heights Health Care Center Nursing home, San Antonio, TX, CCN 455969
  • Westover Hills Rehabilitation and Healthcare Nursing home, San Antonio, TX, CCN 676281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
939625TXMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Physician Housecalls PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

8000 W Interstate 10
Ste 240
San Antonio, TX 78230
Phone (210) 903-0000

8000 W Interstate 10
Ste 201
San Antonio, TX 78230
Phone (210) 500-3030

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.

Hospital & facility affiliations 4

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1801689708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W IH 10 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303879",
            "telephone_number": "210-944-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W IH 10 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303879",
            "telephone_number": "210-944-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO-RUEDAS",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TX",
            "license": "939625",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1203974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.