Individual provider Active NPI

Keishla Yaritza Roman Ramos, DC

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1174155394
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010330 Issued in GA
Practice address
600 Houze Way Ste D9
Roswell, GA 30076-1433
Phone
(770) 758-2153
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010330 GA Primary

Addresses

Primary practice location

600 Houze Way Ste D9
Roswell, GA 30076-1433

Mailing address

600 Houze Way Ste D9
Roswell, GA 30076-1433
Phone (770) 758-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010330GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Vitae Health LLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

600 Houze Way
Ste D9
Roswell, GA 30076
Phone (678) 357-6659

Interoperability endpoints

  • Direct secure messaging: keishla.romandc.p1@direct.aicaorthopedics.nextgenshare.com

Organizations & group practices 1

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1174155394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY STE D9",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761433",
            "telephone_number": "770-758-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOUZE WAY STE D9",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761433",
            "telephone_number": "770-758-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN RAMOS",
        "first_name": "KEISHLA",
        "middle_name": "YARITZA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.