Individual provider Active NPI

Katherine Marie Romo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942942396
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
273504 Issued in AZ
Practice address
7228 E Onza Ave
Mesa, AZ 85212-9781
Phone
(480) 466-8176
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 273504 AZ Primary

Addresses

Primary practice location

7228 E Onza Ave
Mesa, AZ 85212-9781

Mailing address

7228 E Onza Ave
Mesa, AZ 85212-9781
Phone (480) 466-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220707000872 AZ Practitioner - Nurse Practitioner 0345620431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2390 E Camelback Rd
Suite 400
Phoenix, AZ 85016-3479

34807 N 32ND Dr Apt
Suite 3065
Phoenix, AZ 85086-4022

7228 E Onza Ave
Mesa, AZ 85212-9781

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince Jul 29, 2023 Accepting new patients
Resilient Health, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Resilient Health, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Connectionsaz, LLC CurrentSince Jul 29, 2023 Accepting new patients
Empact - Suicide Prevention Center Past Accepting new patients
Resilient Health, Inc. Past Accepting new patients

Locations

3271 E Queen Creek Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 550-3193

2255 W Northern Ave
Ste B100
Phoenix, AZ 85021

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

1415 N 1st St
Phoenix, AZ 85004
Phone (602) 302-7815

Interoperability endpoints

  • Direct secure messaging: katherine.romo.p1@direct.lafrontera-empact.nextgenshare.com

Organizations & group practices 6

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1942942396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 E ONZA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129781",
            "telephone_number": "480-466-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 E ONZA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129781",
            "telephone_number": "480-466-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "273504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.