Individual provider Active NPI

Cortnee Lynn Roman, FNP

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1356585210
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7286119-4405 Issued in UT
Practice address
370 9TH Ave
Suite 106
Salt Lake City, UT 84103-2877
Phone
(801) 262-3441
Fax
(801) 269-9005
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 587949 NY
Family Nurse Practitioner 363LF0000X F335849-1 NY
Family Nurse Practitioner 363LF0000X 7286119-4405 UT Primary

Addresses

Primary practice location

370 9TH Ave
Suite 106
Salt Lake City, UT 84103-2877

Mailing address

370 E 9TH Ave Ste 106
Salt Lake City, UT 84103-3182
Phone (801) 408-5700

Other names 1

  • Miss Cortnee Lynn Lucero Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cortnee.roman.1@32973.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120423000005 UT Practitioner - Nurse Practitioner 8527229350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr John Foley LLCGroup PAC ID 0749201747, 10 clinicians

Practice addresses (Care Compare)

359 E 8TH Ave
Suite 205
Salt Lake City, UT 84103-2895
Phone (801) 408-5700

Hospital & facility affiliations

  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
587949NYMDRegistered Nurse
F335849-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John Foley LLC CurrentSince Jun 11, 2018 Accepting new patients

Locations

3300 N 1200 W
Ste 350
Lehi, UT 84043
Phone (801) 331-9660

359 E 8th Ave
Ste 205
Salt Lake City, UT 84103
Phone (801) 408-5700

370 Ninth Ave
Ste 106
Slc, UT 84103
Phone (801) 408-5700

Interoperability endpoints

  • Direct secure messaging: cortnee.roman.1@32973.direct.athenahealth.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1356585210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 9TH AVE STE 106",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033182",
            "telephone_number": "801-408-5700",
            "fax_number": "801-408-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 9TH AVE",
            "address_2": "SUITE 106",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032877",
            "telephone_number": "801-262-3441",
            "fax_number": "801-269-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CORTNEE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "587949",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335849-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7286119-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cortnee.roman.1@32973.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "370 9th Ave",
            "address_2": "Suite 106",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841032877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CORTNEE",
            "last_name": "LUCERO",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.