Active NPI
Norma Groom, NP
- Women's Health Nurse Practitioner
- Calexico, CA
National Provider Identifier
1922120989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN255734
- Practice address
- 223 W Cole Blvd
Calexico, CA 92231-9722 - Phone
- (760) 357-2020
- Fax
- (760) 357-1056
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN255734 | CA | Primary |
Addresses
Primary practice location
223 W Cole Blvd
Calexico, CA 92231-9722
Mailing address
1166 K St
Brawley, CA 92227-2737
Phone (760) 344-9951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255734 | Other | CA | RN LICENSE |
| 9528 | Other | CA | RNP |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255734 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1922120989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 K ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272737",
"telephone_number": "760-344-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W COLE BLVD",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922319722",
"telephone_number": "760-357-2020",
"fax_number": "760-357-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOM",
"first_name": "NORMA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "RN255734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "255734",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RNP",
"identifier": "9528",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calexico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.