Carol Hollis Romero, RN,NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

10252 Issued in CA

Practice address

333 S Twin Oaks Valley Rd
San Marcos, CA 92096-0001

Phone

(760) 750-4915

Fax

(760) 750-3181

NPI assigned

Apr 20, 2007

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

Other names 1

• Miss Carol Jane Hollis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Cal State San Marcos Student Health & Counseling Services

  • Student Health Clinic/Center
  • San Marcos, CA
  • NPI 1144340670
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1619194586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "760-750-4915",
            "fax_number": "760-750-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "760-750-4915",
            "fax_number": "760-750-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "CAROL",
        "middle_name": "HOLLIS",
        "name_prefix": "Mrs.",
        "credential": "RN,NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "388433",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HOLLIS",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "RN,NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Roman
• Nestor Roman
• Cherokee Romanio-Fox
• Tania Romero Gutierrez
• Ashley Karina Romero
• Diana Romero
• Richard Lunt Romney, D.D.S.
• Ronny T. Le Dental Professional Corporation
• Elizabeth Jane Roper
• Desiree Ann Rosalee

• Obstetrics & Gynecology Nurse Practitioner in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.