ANDREA TRUJILLO I (NPI# 1801211891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801211891 |
| Entity Type | Individual |
| Full Name | ANDREA TRUJILLO I |
| Practice Address |
3020 E Bonanza Suite 160-a Las Vegas NV 89101 |
| Mailing Address |
3020 E Bonanza Rd Las Vegas NV 89101-3702 |
| Practice Telephone | 7027719128 |
| Practice Fax Number | 7029823069 |
| Mailing Telephone | 7027719128 |
| Mailing Fax Number | 7029823069 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
20131063992 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 46-1989499 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346520418 | Andrea Trujillo | Dentist | 9933 Pines Blvd, Pembroke Pines, FL 33024-6175 | 2011-08-22 |
| 1770013807 | Andrea Trujillo | Case Manager/Care Coordinator | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2017-06-12 |
| 1932518305 | Andrea L Trujillo | Pharmacist | 2609 7th St, Las Vegas, NM 87701-4863 | 2014-08-10 |
| 1942530589 | Andrea M Trujillo | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-01-04 |
| 1821286618 | Andrea R. Trujillo | Physical Therapist | 301 S 7th St, Williams, AZ 86046-2324 | 2007-10-05 |
| Street Address |
3020 E BONANZA SUITE 160-A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912328162 | Nevada Senior Services Inc | Psychologist | 905 N Jones Blvd, Las Vegas, NV 89108-1655 | 2013-12-13 |
| 1821139098 | Steven Goldstein | Psychologist | 5600 Spring Mountain Rd, Suite 102, Las Vegas, NV 89146-8821 | 2007-02-09 |
| 1063915387 | Tamara Calana | Psychologist | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193674 | Breanna Luckey | Psychologist | 370 Casa Norte Dr Unit 2007, North Las Vegas, NV 89031-3328 | 2020-08-05 |
Please comment or provide details below to improve the information on ANDREA TRUJILLO I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.