Individual provider Active NPI

Marta I Romero, FNP-BC

  • Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1801525662
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1072745 Issued in TX
Practice address
141 RVG Pkwy Ste 101
Waxahachie, TX 75165-5289
Phone
(972) 923-8923
NPI assigned
Jun 7, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1072745 TX Primary

Addresses

Primary practice location

141 RVG Pkwy Ste 101
Waxahachie, TX 75165-5289

Mailing address

100 Blue Moon Dr
Waxahachie, TX 75165-5253
Phone (469) 773-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220718000616 TX Practitioner - Nurse Practitioner 9638550056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1072745TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Sleep Diagnostics and Therapeutics LLC CurrentSince Jun 1, 2022 Accepting new patients
Pulmonics Plus PLLC Pulmonary Disease CurrentSince Jun 1, 2022 Accepting new patients

Locations

141 Rvg Pkwy
Ste 101
Waxahachie, TX 75165
Phone (214) 550-6411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHIBD

Organizations & group practices 2

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1801525662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLUE MOON DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655253",
            "telephone_number": "469-773-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 101",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655289",
            "telephone_number": "972-923-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARTA",
        "middle_name": "I",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1072745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.