Active NPI
Trista D Pryor, RN
- Registered Nurse
- Las Animas, CO
National Provider Identifier
1851659460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 197631
- Practice address
- 701 S Park Ave
Las Animas, CO 81054-1575 - Phone
- (719) 456-0517
- Fax
- (719) 456-0518
- NPI assigned
- May 2, 2012
- Last updated
- May 21, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 197631 | CO | Primary |
Addresses
Primary practice location
701 S Park Ave
Las Animas, CO 81054-1575
Mailing address
701 S Park Ave
Las Animas, CO 81054-1575
Phone (719) 456-0517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197631 | Other | CO | RN LICENSE |
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 |
|---|---|---|---|
| RN 197631 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1851659460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S PARK AVE",
"city": "LAS ANIMAS",
"state": "CO",
"postal_code": "810541575",
"telephone_number": "719-456-0517",
"fax_number": "719-456-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S PARK AVE",
"city": "LAS ANIMAS",
"state": "CO",
"postal_code": "810541575",
"telephone_number": "719-456-0517",
"fax_number": "719-456-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "TRISTA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN 197631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "197631",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Animas, CO
- Jimmy Lee McCrackin, D.C.
- David Oba
- Richard Orr
- Pharmacy Services Inc (ValUMed Pharmacy)
- Prowers County Hospital District (Las Animas Family Practice)
- Region Six Alcohol & Drug Abuse Inc. (Resada)
- Region Six Alcohol & Drug Abuse Inc.
- Region Six Alcohol & Drug Abuse Inc. (Resada)
- Richard Orr (Orr Construction)
- Maelisa B Rider
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.