Individual provider Active NPI

Katrina M De Romana, MSN, FNP

  • Primary Care Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1679751267
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5556 Issued in CO
Practice address
1001 S Perry St Ste 105B
Castle Rock, CO 80104-1921
Phone
(720) 485-3178
Fax
(720) 414-0006
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5556 CO Primary

Addresses

Primary practice location

1001 S Perry St Ste 105B
Castle Rock, CO 80104-1921

Mailing address

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone (720) 272-7771

Other identifiers 1

IdentifierTypeStateIssuer
10652370MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090923000390 CO Practitioner - Nurse Practitioner 7214083898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5556COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartlight Family Clinic, LLC Primary Care CurrentSince Jul 19, 2016 Accepting new patients
Flourish Functional Medicine LLC Current Accepting new patients

Locations

1001 S Perry St
Ste 105B
Castle Rock, CO 80104
Phone (303) 395-5548

1001 S Perry St
Ste 104B
Castle Rock, CO 80104
Phone (303) 325-3901

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1679751267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-272-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 105B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041921",
            "telephone_number": "720-485-3178",
            "fax_number": "720-414-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROMANA",
        "first_name": "KATRINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "5556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10652370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.