Individual provider Active NPI

Itzel Daniela Romo, APRN

  • Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1790376473
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APRN.0003067-N-NP Issued in CO
Practice address
1360 S Potomac St
Aurora, CO 80012-4505
Phone
(303) 337-5575
Fax
(303) 074-5626
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0117387 OK
Nurse Practitioner 363L00000X C-APRN.0003067-N-NP CO Primary

Addresses

Primary practice location

1360 S Potomac St
Aurora, CO 80012-4505

Mailing address

11515 E 31St St
Tulsa, OK 74146-1908
Phone (918) 392-3944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240319001041 TX Practitioner - Nurse Practitioner 9234536988 Reassigns benefits to 1 organization
I20240319001860 OK Practitioner - Nurse Practitioner 9234536988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

11515 E 31St St
Tulsa, OK 74146-1908
Phone (918) 392-3944

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APRN.0003067-N-NPCOMDNurse Practitioner
0117387OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 11, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 11, 2024 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Ahs Oklahoma Physician Group LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 11, 2024 Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1400 E Downing St
#T
Tahlequah, OK 74464

11515 E 31st St
Tulsa, OK 74146
Phone (918) 392-3944

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: iromo1089962@ahs.direct-ci.com
  • Direct secure messaging: iromo22854@muscogeecreeknation.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1790376473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461908",
            "telephone_number": "918-392-3944",
            "fax_number": "918-392-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575",
            "fax_number": "303-074-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "ITZEL",
        "middle_name": "DANIELA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "0117387",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APRN.0003067-N-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.