Individual provider Active NPI

Michelle Angela Trujillo, CFNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1821277757
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP01205 Issued in NM
Practice address
8300 Casa Morena CT NW
Albuquerque, NM 87120-6501
Phone
(505) 927-8040
NPI assigned
Oct 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R48769 NM
Nurse Practitioner 363L00000X CNP01205 NM Primary

Addresses

Primary practice location

8300 Casa Morena CT NW
Albuquerque, NM 87120-6501

Mailing address

8300 Casa Morena CT NW
Albuquerque, NM 87120-6501
Phone (505) 927-8040

Other practice location 1

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (615) 928-6268

Other practice location 2

101 Hospital Loop NE Ste 210
Albuquerque, NM 87109-2128
Phone (615) 928-6268

Other practice location 3

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (615) 928-6268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20110120000745 NM Practitioner - Nurse Practitioner 8426237686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R48769NMMDGeneral Practice Registered Nurse

Interoperability endpoints

  • Direct secure messaging: mtrujillo11544@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1821277757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CASA MORENA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206501",
            "telephone_number": "505-927-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CASA MORENA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206501",
            "telephone_number": "505-927-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Golf Course Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145019",
            "country_code": "US",
            "telephone_number": "615-928-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Loop NE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092128",
            "country_code": "US",
            "telephone_number": "615-928-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Dr Martin Luther King Jr Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023619",
            "country_code": "US",
            "telephone_number": "615-928-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "R48769",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.