Alisha J Romero-Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5495 Issued in NM

Practice address

75 Romero Road
Los Lunas, NM 87031

Phone

(505) 463-1874

NPI assigned

Feb 17, 2010

Last updated

Mar 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Bold Beginnings Therapy

  • Speech-Language Pathologist
  • Los Lunas, NM
  • NPI 1548575038
  NPD (past) Authorized official

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1073835096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "TOME",
            "state": "NM",
            "postal_code": "870600218",
            "telephone_number": "505-463-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROMERO ROAD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-463-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-MOORE",
        "first_name": "ALISHA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12107042",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharrae L Rodriguez, MS MCHC
• Kylie Jo Roe
• Tia M Roes, PA-C
• Mia Rogers
• Daisy Leonor Rojo
• Michael Edward Romero-Portillo
• Epiphany Romero
• Karen E Romero, LMSW
• Valerie Romero, CSW
• Cynthia Joy Romine

• Speech-Language Pathologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.