Individual provider Active NPI

Melissa Roman, ARNP

  • Family Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1881070688
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3395192 Issued in FL
Practice address
1207 Greene SQ
Celebration, FL 34747-4057
Phone
(954) 732-5529
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3395192 FL Primary

Addresses

Primary practice location

1207 Greene SQ
Celebration, FL 34747-4057

Mailing address

1207 Greene SQ
Celebration, FL 34747-4057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20150917000270 FL Practitioner - Nurse Practitioner 2769799139 Reassigns benefits to 3 organizations
I20240327002293 GA Practitioner - Nurse Practitioner 2769799139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3395192FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Feb 21, 2018 Accepting new patients
WCS Professional Services of Florida, LLC CurrentSince Jul 6, 2020 Accepting new patients
Restorixhealth at-Home, LLC CurrentSince Jul 6, 2020 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Rmed LLC CurrentSince Feb 21, 2018 Accepting new patients

Locations

1658 St Vincents Way
Ste 120
Middleburg, FL 32068
Phone (904) 602-1000

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: melissa.roman.1@14883.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1881070688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 GREENE SQ",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 GREENE SQ",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474057",
            "telephone_number": "954-732-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3395192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.