Tisha Romero, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

221530 Issued in AZ

Practice address

15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104

Phone

(623) 303-5200

Fax

(623) 666-6703

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, shared by 9 NPIs, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tisha.romero.1@26465.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26465/brand/1/csg/1/fhir/r4
• Direct secure messaging: tromero803957@direct.ochin.org

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.

• Community 43

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1477151546
  Medicare reassignment NPD
• Neighborhood Outreach Access to Health

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1942518550
  Medicare reassignment NPD
• Inspire Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1417623539
  NPD Authorized official
• Neighborhood Outreach Access to Health

  • Federally Qualified Health Center (FQHC)
  • Glendale, AZ
  • NPI 1326731555
  NPD
• Highland Medical Center, PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1740583186
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1992269971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853550648",
            "telephone_number": "623-303-5200",
            "fax_number": "623-666-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15331 W BELL RD STE 212",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744104",
            "telephone_number": "623-303-5200",
            "fax_number": "623-666-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "TISHA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "221530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Zachary Rolfe, DMD
• David Rickey Rollen Jr.
• Christian Roman
• Trish Deana Romano, SLPA
• Guadalupe Romero, LCSW
• Rooted Within Counseling Services
• Emily Rosales
• Patrick James Roscetti, MD
• Rosemary Fadool DO PC
• Lauren Riley Rosenthal

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.