Active NPI
Romayne Elizabeth Farrell, NP
- Nurse Practitioner
- Rohnert Park, CA
National Provider Identifier
1669402079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2962
- Practice address
- 1400 Medical Center Drive
Rohnert Park, CA 94928 - Phone
- (707) 586-0440
- Fax
- (707) 586-1444
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2962 | CA | Primary |
Addresses
Primary practice location
1400 Medical Center Drive
Rohnert Park, CA 94928
Mailing address
15620 Healdsburg Avenue
Healdsburg, CA 95448
Phone (707) 473-4531
Other names 1
- Romayne Elizabeth Gustafson
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2962 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669402079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15620 HEALDSBURG AVENUE",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "95448",
"telephone_number": "707-473-4531",
"fax_number": "707-473-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDICAL CENTER DRIVE",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "707-586-0440",
"fax_number": "707-586-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ROMAYNE",
"middle_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "2962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMAYNE",
"last_name": "GUSTAFSON",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rohnert Park, CA
- Jodelyn Teofila Ettlin, PTA
- Eye Care Institute, a Medical Corporation
- Eye Care Institute, a Medical Corporation
- Farrell Chiropractic, Inc. (Salud Chiropractic)
- Angelica Farrell, DC
- Marc T Fields, MD
- Christina Renee Fifer, R.D.
- Peggy Joan Filice, D.C.
- Firstsight Vision Services, Inc.
- Thomas M Fitzgerald, DPM
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.