Individual provider Active NPI

Melissa Mary Romero, PHD, FNP-BC

  • Family Nurse Practitioner
  • Ishpeming, MI
National Provider Identifier
1194017756
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704207371 Issued in MI
Practice address
901 Lakeshore Dr
Upper Great Lakes Vascular
Ishpeming, MI 49849-1367
Phone
(906) 485-2696
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704207371 MI Primary

Addresses

Primary practice location

901 Lakeshore Dr
Upper Great Lakes Vascular
Ishpeming, MI 49849-1367

Mailing address

901 Lakeshore Dr
Upper Great Lakes Vascular
Ishpeming, MI 49849-1367
Phone (906) 485-2696

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)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Medical Center Past Accepting new patients

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1194017756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "address_2": "UPPER GREAT LAKES VASCULAR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "address_2": "UPPER GREAT LAKES VASCULAR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MELISSA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704207371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.