Shelly Rome, N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP0622 Issued in AZ

Practice address

3514 N Power Rd
Suite 118
Mesa, AZ 85215-2903

Phone

(480) 844-8346

Fax

(480) 844-3889

NPI assigned

Oct 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1265869598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "SUITE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152903",
            "telephone_number": "480-844-8346",
            "fax_number": "480-844-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N POWER RD",
            "address_2": "SUITE 118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152903",
            "telephone_number": "480-844-8346",
            "fax_number": "480-844-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROME",
        "first_name": "SHELLY",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN061491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP0622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Ruth Roman
• Chad Romanoff
• Michele O. Romanoski, R.N.
• Elsa Romanowitz, LCSW
• Judah Samuel David Rome
• Fabiola Romero Gonzalez
• Alicia Romero Henriquez, LMSW
• Kelly Romero, NMD
• Lisa D Romero, FNP-C
• Bethanie L Romney, PT

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.