Individual provider Active NPI

Danyelle Romero, CNP

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1679929186
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02975 Issued in NM
Practice address
9 Pine Ridge Dr
Las Vegas, NM 87701-9685
Phone
(505) 426-5682
Fax
(505) 466-5008
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02975 NM Primary

Addresses

Primary practice location

9 Pine Ridge Dr
Las Vegas, NM 87701-9685

Mailing address

9 Pine Ridge Dr
Las Vegas, NM 87701-9685
Phone (505) 426-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160811001239 NM Practitioner - Nurse Practitioner 8224322342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 Pine Ridge Dr
Las Vegas, NM 87701-9685
Phone (505) 426-5682

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02975NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 27, 2024 Accepting new patients
El Centro Family Health CurrentSince Jul 18, 2016 Accepting new patients
El Centro Family Health CurrentSince Jul 18, 2016 Accepting new patients
New Mexico Truecare Family Practice LLC Family CurrentSince Oct 25, 2023 Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: danyelle.romero.1@30262.direct.athenahealth.com

Organizations & group practices 5

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1679929186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019685",
            "telephone_number": "505-426-5682",
            "fax_number": "505-466-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019685",
            "telephone_number": "505-426-5682",
            "fax_number": "505-466-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "DANYELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.