Individual provider Active NPI

Romaine H Heard, CRNP

  • Family Nurse Practitioner
  • Cedar Bluff, AL
National Provider Identifier
1700894045
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059304 Issued in AL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 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

IdentifierTypeStateIssuer
511-27374 (CHEROKEE)OtherALBLUE CROSS
630411116MedicaidAL
630408116MedicaidAL
138576 (CHEROKEE)MedicaidAL
138679 (WATTS)MedicaidAL
630401166MedicaidAL

Other names 1

  • Romaine H Mackey Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000700 AL Practitioner - Nurse Practitioner 6800927211 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1059304ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Dec 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.