Active NPI
Pamela Wise Romero, PHD
- Psychologist
- Durango, CO
National Provider Identifier
1548216955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2481
- Practice address
- 281 Sawyer Dr
Suite 100
Durango, CO 81303-3409 - Phone
- (970) 259-2162
- Fax
- (970) 247-0455
- NPI assigned
- May 26, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2481 | CO | Primary |
Addresses
Primary practice location
281 Sawyer Dr
Suite 100
Durango, CO 81303-3409
Mailing address
PO Box 2997
Durango, CO 81302-2997
Phone (970) 247-4589
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2481 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548216955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2997",
"city": "DURANGO",
"state": "CO",
"postal_code": "813022997",
"telephone_number": "970-247-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 SAWYER DR",
"address_2": "SUITE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "813033409",
"telephone_number": "970-259-2162",
"fax_number": "970-247-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE ROMERO",
"first_name": "PAMELA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.