Active NPI
Romaine H Heard, CRNP
- Family Nurse Practitioner
- Cedar Bluff, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1059304
- Practice address
- 4055 Al Highway 9
Suite F
Cedar Bluff, AL 35959-5099 - Phone
- (256) 779-6057
- NPI assigned
- Aug 3, 2006
- Last updated
- Nov 29, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1059304 | AL | Primary |
Addresses
Primary practice location
4055 Al Highway 9
Suite F
Cedar Bluff, AL 35959-5099
Mailing address
PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-27374 (CHEROKEE) | Other | AL | BLUE CROSS |
| 630411116 | Medicaid | AL | |
| 630408116 | Medicaid | AL | |
| 138576 (CHEROKEE) | Medicaid | AL | |
| 138679 (WATTS) | Medicaid | AL | |
| 630401166 | Medicaid | AL |
Other names 1
- Romaine H Mackey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 N 27TH St
Gadsden, AL 35904-1580
Phone (256) 546-0073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059304 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Southern Cardiovascular Associates, PC | Past | Accepting new patients |
Locations
4055 AL Highway 9
Ste F
Cedar Bluff, AL 35959
Phone (256) 779-3000
1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073
Interoperability endpoints
- rhulseyheard333094@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Quality of Life Health Complex
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1447200977
-
dba Canterberry Family Practice
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1902856214
-
dba Calhoun Quality Health Care
- Federally Qualified Health Center (FQHC)
- Anniston, AL
- NPI 1013339209
-
dba Cleburne Quality Health Care
- Federally Qualified Health Center (FQHC)
- Heflin, AL
- NPI 1467620989
-
- Cardiovascular Disease Physician
- Gadsden, AL
- NPI 1588617716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1700894045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359020097",
"telephone_number": "256-492-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 AL HIGHWAY 9",
"address_2": "SUITE F",
"city": "CEDAR BLUFF",
"state": "AL",
"postal_code": "359595099",
"telephone_number": "256-779-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "ROMAINE",
"middle_name": "H",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1059304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "511-27374 (CHEROKEE)",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630411116",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630408116",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138576 (CHEROKEE)",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138679 (WATTS)",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630401166",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROMAINE",
"last_name": "MACKEY",
"middle_name": "H",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Bluff, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.