Individual provider Active NPI

Casey Trujillo

  • Homemaker
  • Peoria, AZ
National Provider Identifier
1992343628
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
8555 W Cherry Hills Dr
Peoria, AZ 85345-8172
Phone
(602) 293-6270
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU Primary

Addresses

Primary practice location

8555 W Cherry Hills Dr
Peoria, AZ 85345-8172

Mailing address

8555 W Cherry Hills Dr
Peoria, AZ 85345-8172
Phone (602) 293-6270

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL peoria

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

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1992343628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 W CHERRY HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458172",
            "telephone_number": "602-293-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 W CHERRY HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458172",
            "telephone_number": "602-293-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "peoria",
            "affiliation": "N",
            "endpointDescription": "as established between parties",
            "address_1": "8555 W Cherry Hills Dr",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853458172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.