Individual provider Active NPI

Bridget Diane Romeo, CNP

  • Adult Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1174613228
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP09022 Issued in OH
Practice address
8580 South Ave
Youngstown, OH 44514-3693
Phone
(330) 758-2303
Fax
(330) 758-5548
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP09022 OH Primary

Addresses

Primary practice location

8580 South Ave
Youngstown, OH 44514-3693

Mailing address

8580 South Ave
Youngstown, OH 44514-3693
Phone (330) 758-2303

Other identifiers 1

IdentifierTypeStateIssuer
1215010111OtherOHORGANIZATION NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061208000211 OH Practitioner - Nurse Practitioner 7416956008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP09022OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Aug 1, 2016 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 792-0583

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1174613228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "330-758-2303",
            "fax_number": "330-758-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SOUTH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143693",
            "telephone_number": "330-758-2303",
            "fax_number": "330-758-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "BRIDGET",
        "middle_name": "DIANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP09022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1215010111",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.