Deborah Carsley Romero, FNP. BC., CDE
Individual provider Active NPI Family Nurse Practitioner · Hoopa, CA
NPI 1740580968 · NPPES record last updated Oct 22, 2010
Key facts
- NPI
- 1740580968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 346020 (CA)
- Practice address
- 1200 Airport Road
Hoopa, CA 95546-1288 - Phone
- (530) 625-4261
- Fax
- (530) 625-4519
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346020 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Past | Accepting new patients | |
| K'Ima:W Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 346020 | CA | |
| Family Nurse Practitioner | 363LF0000X | 346020 | CA | Yes |
Addresses
Primary practice location
1200 Airport Road
Hoopa, CA 95546-1288
Mailing address
PO Box 1288
1200 Airport Road
Hoopa, CA 95546-1288
Phone (530) 625-4261
Other providers in Hoopa, CA
- Yolanda L Latham
- Jena Marshall
- Jesse Clayton McCovey Sr.
- Jack McNertney Jr.
- Taushona Lee Anna Moon
- Aran Ruiz
- Eric Ruiz
- Melissa J Ruiz
- Eva Marie Smith
- William C Ta
All providers in Hoopa, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.