Individual provider Active NPI

Ensiribe Yusmina Romney, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1013792043
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11028329 Issued in FL
Practice address
41 N Federal Hwy Ste a
Pompano Beach, FL 33062-4304
Phone
(954) 320-4944
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11028329 FL Primary

Addresses

Primary practice location

41 N Federal Hwy Ste a
Pompano Beach, FL 33062-4304

Mailing address

1265 S Flagler Ave Apt 220
Pompano Beach, FL 33060-8675
Phone (954) 592-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406000092 FL Practitioner - Nurse Practitioner 5193290427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1265 S Flagler Ave Apt
Suite 220
Pompano Beach, FL 33060-8675

145 NW Central Park PLZ
Suite 200
Port Saint Lucie, FL 34986-2482

7909 NW 71St Ave
Tamarac, FL 33321-7038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028329FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ketamine Clinic South Florida Single Specialty CurrentSince Sep 5, 2023 Accepting new patients

Locations

41 N Federal Hwy
Ste A
Pompano Beach, FL 33062
Phone (954) 320-4944

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1013792043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S FLAGLER AVE APT 220",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608675",
            "telephone_number": "954-592-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N FEDERAL HWY STE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624304",
            "telephone_number": "954-320-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMNEY",
        "first_name": "ENSIRIBE",
        "middle_name": "YUSMINA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.