Deborah Carsley Romero, FNP. BC., CDE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346020 Issued in CA

Practice address

1200 Airport Road
Hoopa, CA 95546-1288

Phone

(530) 625-4261

Fax

(530) 625-4519

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1306904222
  NPD (past)
• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1861661365
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1740580968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "address_2": "1200 AIRPORT ROAD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955461288",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT ROAD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955461288",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "DEBORAH",
        "middle_name": "CARSLEY",
        "credential": "FNP. BC., CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "346020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "346020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda L Latham
• Jena Marshall
• Jesse Clayton McCovey Sr., PEER SUPPORT
• Jack McNertney Jr., RAS
• Taushona Lee Anna Moon
• Aran Ruiz, M.S, PPSC
• Eric Ruiz
• Melissa J Ruiz, MSW, PPS-SSW
• Eva Marie Smith, M.D., M.P.H.
• William C Ta, M.D.

• Family Nurse Practitioner in Hoopa, CA
• Providers in Hoopa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.