Active NPI
Judith Roman, FNP-C
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139754
- Practice address
- 12810 Edgemere
El Paso, TX 79938 - Phone
- (915) 504-3209
- NPI assigned
- Jan 31, 2019
- Last updated
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP139754 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa Pain Institute PLLC | Current | Accepting new patients | |
| Kidney Consultants of El Paso | Current | Accepting new patients | |
| Good Night El Paso LLC | Current | Accepting new patients | |
| Family Medicine Associates of El Paso, PLLC | Current | Accepting new patients | |
| Complete Care Partners LLC | Past | 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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1972505717
-
dba Villa Pain Institute
- Interventional Pain Medicine Physician
- El Paso, TX
- NPI 1861190753
-
- General Practice Dentistry
- El Paso, TX
- NPI 1821822412
-
- Nephrology Physician
- El Paso, TX
- NPI 1174584114
-
dba Villa Pain Institute
- Interventional Pain Medicine Physician
- El Paso, TX
- NPI 1134957103
-
- Family Medicine Physician
- El Paso, TX
- NPI 1114437563
-
- Family Medicine Physician
- El Paso, TX
- NPI 1255849097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.