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Deactivated NPI 1144458159 Deactivated / Inactive NPI Female Practitioner

Bertha B Trujillo

Licensed Practical Nurse • Yakima, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bertha Trujillo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2009
NPI Deactivation Date March 24, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Bertha Trujillo was a registered Licensed Practical Nurse practicing in Yakima, WA. Throughout an active medical career spanning 14 years, Bertha Trujillo provided care at the practice location at 907 S 17TH AVE until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

907 S 17th Ave

Yakima, WA 989024207

Telephone 5094522928

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Yakima, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Yakima, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LPN00056819

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2013

Registered at 907 S 17TH AVE, YAKIMA, WA 989024207 (Tel: 5094522928)

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Updated Business Mailing Address July 11, 2013

Registered at 907 S 17TH AVE, YAKIMA, WA 989024207 (Tel: 5094522928)

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Provider Name / Credentials Updated July 11, 2013

Recorded as BERTHA TRUJILLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Licensed Practical Nurse (License #LPN00056819 in WA)

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Initial NPI Registration & Enumeration June 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144458159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2009
Last Update: July 11, 2013
Deactivation Date: March 24, 2023

Mailing Address

907 S 17th Ave

Yakima, WA 989024207

Phone: 5094522928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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