Individual provider Active NPI

Michele Giles Romero, APRN

  • Nurse Practitioner
  • Tolland, CT
National Provider Identifier
1144728841
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7546 Issued in CT
Practice address
6 Fieldstone CMNS Ste D
Tolland, CT 06084
Phone
(860) 875-2099
Fax
(860) 979-0056
NPI assigned
Jan 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN203074 MA
Nurse Practitioner 363L00000X 7546 CT Primary

Addresses

Primary practice location

6 Fieldstone CMNS Ste D
Tolland, CT 06084

Mailing address

52 Undine Cir
Springfield, MA 01109-1538
Phone (413) 237-1073

Other practice location 1

2 Hospital Dr Ste 101
Holyoke, MA 01040-6616
Phone (413) 533-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180604002003 CT Practitioner - Nurse Practitioner 7113282682 Reassigns benefits to 1 organization
I20201104002064 WA Practitioner - Nurse Practitioner 7113282682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7546CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Healthcare LLC Nurse Practitioner CurrentSince Jul 30, 2020 Accepting new patients
Mindful Therapy Group PC CurrentSince Feb 9, 2021 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

950 Broadway
Ste 404
Tacoma, WA 98402
Phone (206) 774-8557

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1144728841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 UNDINE CIR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091538",
            "telephone_number": "413-237-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FIELDSTONE CMNS STE D",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "06084",
            "telephone_number": "860-875-2099",
            "fax_number": "860-979-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hospital Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010406616",
            "country_code": "US",
            "telephone_number": "413-533-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MICHELE",
        "middle_name": "GILES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN203074",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

Verify at the official NPI Registry.