Individual provider Active NPI

Judith Roman, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1386109635
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139754 Issued in TX
Practice address
12810 Edgemere
El Paso, TX 79938
Phone
(915) 504-3209
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 AP139754 TX Primary

Addresses

Primary practice location

12810 Edgemere
El Paso, TX 79938

Mailing address

12810 Edgemere
El Paso, TX 79938
Phone (915) 504-3209

Other practice location 1

9740 Dyer St Ste 111&112
El Paso, TX 79924-4752
Phone (915) 500-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210610003102 TX Practitioner - Nurse Practitioner 7315347416 Reassigns benefits to 3 organizations
I20230623002960 NM Practitioner - Nurse Practitioner 7315347416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of El Paso, PLLCGroup PAC ID 1153504196, 11 clinicians

Practice addresses (Care Compare)

9398 Viscount Blvd
Suite C
El Paso, TX 79925-8056
Phone (915) 594-1033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP139754TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Pain Institute PLLC CurrentSince Feb 1, 2026 Accepting new patients
Kidney Consultants of El Paso CurrentSince Jan 2, 2024 Accepting new patients
Good Night El Paso LLC CurrentSince May 28, 2026 Accepting new patients
Family Medicine Associates of El Paso, PLLC CurrentSince May 28, 2026 Accepting new patients
Complete Care Partners LLC PastSince Jan 2, 2024 Accepting new patients
North East Family Clinic PA Past Accepting new patients

Locations

125 W Hague Rd
Ste 440
El Paso, TX 79902
Phone (915) 533-5733

125 W Hague Rd
Ste 570
El Paso, TX 79902
Phone (915) 541-1156

1351 N Zaragoza Rd
Bldg R
El Paso, TX 79936
Phone (833) 339-7246

1566 Lomaland Dr
El Paso, TX 79935
Phone (915) 544-7767

5255 Woodrow Bean
Ste 9
El Paso, TX 79924
Phone (915) 544-7767

7812 Gateway Blvd E
Ste 230
El Paso, TX 79915
Phone (915) 219-8265

9398 Viscount Blvd
El Paso, TX 79925
Phone (915) 304-9599

9398 Viscount Blvd
Ste C
El Paso, TX 79925
Phone (915) 219-9733

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1386109635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 EDGEMERE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-504-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 EDGEMERE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-504-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9740 Dyer St Ste 111&112",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244752",
            "country_code": "US",
            "telephone_number": "915-500-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUDITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.