Active NPI
Xochitl Romero, PA-C
- Medical Physician Assistant
- Espanola, NM
National Provider Identifier
1700879160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 82-PA001
- Practice address
- 711 Bond St
Espanola, NM 87532-2729 - Phone
- (505) 753-9503
- Fax
- (505) 747-1004
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 82-PA001 | NM | Primary |
Addresses
Primary practice location
711 Bond St
Espanola, NM 87532-2729
Mailing address
538 N Paseo de Onate
P.O. Box 158
Espanola, NM 87532-2618
Phone (505) 753-7218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91637 | Medicaid | NM |
Other names 1
- Ms. Xochitl Anderson
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-PA001 | NM | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1821373812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1700879160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 N PASEO DE ONATE",
"address_2": "P.O. BOX 158",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322618",
"telephone_number": "505-753-7218",
"fax_number": "505-753-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BOND ST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322729",
"telephone_number": "505-753-9503",
"fax_number": "505-747-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "XOCHITL",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "82-PA001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91637",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "XOCHITL",
"last_name": "ANDERSON",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.