Individual provider Active NPI

Yeimi Lizbeth Reyna Romero

  • Physician Assistant
  • Salisbury, NC
National Provider Identifier
1619501970
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16678 Issued in NC
Practice address
2300 W Innes St
Salisbury, NC 28144-2441
Phone
(704) 770-7940
NPI assigned
Feb 26, 2020
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-16678 NC Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

2300 W Innes St
Salisbury, NC 28144-2441

Mailing address

2300 W Innes St
Salisbury, NC 28144-2441
Phone (704) 770-7940

Other practice location 1

100 Campus Dr
Elon, NC 27244-9423
Phone (336) 278-2000

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1619501970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442441",
            "telephone_number": "704-770-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442441",
            "telephone_number": "704-770-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Elon",
            "state": "NC",
            "postal_code": "272449423",
            "country_code": "US",
            "telephone_number": "336-278-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA ROMERO",
        "first_name": "YEIMI",
        "middle_name": "LIZBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16678",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.