NPIMap

Individual provider Active NPI

Stephanie D Romero, CFNP

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1710976162
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R850145 Issued in MS
Practice address
4300B W Railroad St
Gulfport, MS 39501
Phone
(228) 863-7393
Fax
(228) 864-0546
NPI assigned
Oct 18, 2005
Last updated
May 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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 R850145 MS Primary

Addresses

Primary practice location

4300B W Railroad St
Gulfport, MS 39501

Mailing address

4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-7393

Other identifiers 1

IdentifierTypeStateIssuer
02605308MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001277 MS Practitioner - Nurse Practitioner 5597756049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NPS With Ivs Hydration and Wellness LLCGroup PAC ID 7113314188, 3 clinicians

Practice addresses (Care Compare)

13034 Shriners Blvd
Suite B
Biloxi, MS 39532-8250
Phone (228) 333-0133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R850145MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Mississippi Nephrology, PLLC CurrentSince Jun 1, 2018 Accepting new patients
NPS With Ivs Hydration and Wellness LLC Family CurrentSince May 1, 2022 Accepting new patients
Singing River Health System PastSince May 1, 2022 Accepting new patients

Locations

13034 Shriners Blvd
#B
Biloxi, MS 39532
Phone (228) 333-0133

13034 Shriners Blvd
Biloxi, MS 39532

784 Vieux Marche Mall
Biloxi, MS 39530
Phone (228) 374-2575

13034 Shriners Blvd
#A
Biloxi, MS 39532
Phone (228) 219-9888

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

4300B W Railroad St
Gulfport, MS 39501
Phone (228) 822-6722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1710976162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7393",
            "fax_number": "228-864-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-863-7393",
            "fax_number": "228-864-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02605308",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.