Organization Active NPI

Trestle Medical Services LLC

  • Family Nurse Practitioner
  • Cloudcroft, NM
National Provider Identifier
1881479343
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRESTLE MEDICAL SERVICES LLC
Practice address
1200 James Canyon Highway
Cloudcroft, NM 88317
Phone
(806) 324-7996
NPI assigned
Aug 31, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mrs. Julia Victoria Malave Eigenmann, FNP-CNPI 1255114732
Title
Owner
Phone
(806) 324-7996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1200 James Canyon Highway
Cloudcroft, NM 88317

Mailing address

60 Assembly Circle
Sacramento, NM 88347
Phone (806) 324-7996

Other names 1

  • Trestle Medical Services LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231228001712 NM Part B Supplier - Clinic/Group Practice 5799135042 Receives reassigned benefits from 1 practitioner
Practice locations: Cloudcroft, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2289263Trestle Medical Services LLC1200 James Canyon Highway, Cloudcroft, NM 88317Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

60 Assembly Cir
Sacramento, NM 88347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1881479343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ASSEMBLY CIRCLE",
            "city": "SACRAMENTO",
            "state": "NM",
            "postal_code": "88347",
            "telephone_number": "806-324-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JAMES CANYON HIGHWAY",
            "city": "CLOUDCROFT",
            "state": "NM",
            "postal_code": "88317",
            "telephone_number": "806-324-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESTLE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "EIGENMANN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "VICTORIA MALAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-324-7996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trestle Medical Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Trestle Medical Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cloudcroft, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.