Active NPI
Angelica Grace Romasko
- Adult Health Nurse Practitioner
- Tripler AMC, HI
National Provider Identifier
1811509854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 24034
- Practice address
- 1 Jarrett White Rd
Tripler AMC, HI 96859-5001 - Phone
- (808) 422-5000
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 24034 | SC | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Mailing address
1018 E Outerbridge CT
Honolulu, HI 96818-5761
Phone (254) 368-8771
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://app.tolsecuremessaging.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24034 | SC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1811509854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E OUTERBRIDGE CT",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968185761",
"telephone_number": "254-368-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER AMC",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-422-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMASKO",
"first_name": "ANGELICA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2023-10-25",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "24034",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://app.tolsecuremessaging.com/",
"affiliation": "N",
"address_1": "670 Boulevard de France",
"city": "Beaufort",
"state": "SC",
"country_code": "US",
"postal_code": "29902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tripler AMC, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.