Individual provider Active NPI

Romana G Magtoto, APRN,BC

  • Pediatric Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1881762441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000005633 Issued in TN
Practice address
6385 Stage Rd
Suite 2
Bartlett, TN 38134-3738
Phone
(901) 386-1683
Fax
(901) 385-8252
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000005633 TN Primary

Addresses

Primary practice location

6385 Stage Rd
Suite 2
Bartlett, TN 38134-3738

Mailing address

774 S Willett St
Memphis, TN 38104-4921
Phone (901) 278-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APN0000005633TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Children'S Clinic Past Accepting new patients

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881762441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S WILLETT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044921",
            "telephone_number": "901-278-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 STAGE RD",
            "address_2": "SUITE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343738",
            "telephone_number": "901-386-1683",
            "fax_number": "901-385-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTOTO",
        "first_name": "ROMANA",
        "middle_name": "G",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000005633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.