Individual provider Active NPI

Sandra Romo, GNP-C, PMHNP-BC, APR

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1104150861
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9220697 Issued in FL
Practice address
160 SE 6TH Ave Ste A1
Delray Beach, FL 33483-5264
Phone
(561) 634-8696
NPI assigned
Sep 29, 2009
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9220697 FL
Gerontology Nurse Practitioner 363LG0600X APRN9220697 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9220697 FL Primary

Addresses

Primary practice location

160 SE 6TH Ave Ste A1
Delray Beach, FL 33483-5264

Mailing address

160 SE 6TH Ave Ste A1
Delray Beach, FL 33483-5264
Phone (561) 634-8696

Other practice location 1

718 Rider Rd
Boynton Beach, FL 33435-3241
Phone (786) 402-2345

Other identifiers 2

IdentifierTypeStateIssuer
109970300MedicaidFL
004460400MedicaidFL

Other names 1

  • Mrs. Sandra Llerena Former name

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
I20100528000501 FL Practitioner - Nurse Practitioner 8921137944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 SE 6TH Ave
A1
Delray Beach, FL 33483-5264
Phone (561) 634-8696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9220697FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health System, LLC Nurse Practitioner CurrentSince Mar 23, 2021 Accepting new patients
Geriatrics of Boca Delray PA Past Accepting new patients
Gastrocare LLP Past Accepting new patients

Locations

160 SE 6th Ave
#A1
Delray Beach, FL 33483
Phone (561) 634-8696

160 SE 6th Ave
Ste A1
Delray Beach, FL 33483
Phone (561) 475-4388

Interoperability endpoints

  • Direct secure messaging: sandra.romo.1@27402.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1104150861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SE 6TH AVE STE A1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835264",
            "telephone_number": "561-634-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SE 6TH AVE STE A1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835264",
            "telephone_number": "561-634-8696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Rider Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334353241",
            "country_code": "US",
            "telephone_number": "786-402-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMO",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "GNP-C, PMHNP-BC, APR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9220697",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9220697",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9220697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109970300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004460400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LLERENA",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.