Individual provider Active NPI

Richard Victor Romero Jr., FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679032577
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190519 Issued in AZ
Practice address
14001 N 36TH St
Phoenix, AZ 85032-5314
Phone
(602) 754-8807
NPI assigned
Mar 19, 2019
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN191526 AZ
Family Nurse Practitioner 363LF0000X F03190519 AZ Primary

Addresses

Primary practice location

14001 N 36TH St
Phoenix, AZ 85032-5314

Mailing address

14001 N 36TH St
Phoenix, AZ 85032-5314
Phone (602) 754-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916002451 AZ Practitioner - Nurse Practitioner 4486983582 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN191526AZMDRegistered Nurse
F03190519AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Mar 4, 2020 Accepting new patients
Barefoot NP Inc. CurrentSince Mar 30, 2025 Accepting new patients
Prestige Virtual Care LLC CurrentSince Dec 1, 2023 Accepting new patients
I Am Wellness Az LLC Past Accepting new patients
I Am Wellness Az LLC PastSince Aug 4, 2024 Accepting new patients
I Am Wellness Az LLC PastSince Sep 29, 2024 Accepting new patients

Locations

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

10830 N 71st Pl
Ste 105
Scottsdale, AZ 85254
Phone (480) 206-5619

Interoperability endpoints

  • Direct secure messaging: richard.romero@521861120327684.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1679032577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 N 36TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325314",
            "telephone_number": "602-754-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 36TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325314",
            "telephone_number": "602-754-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "RICHARD",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN191526",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F03190519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.