Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judah Samuel David Rome

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1144832916

Judah Samuel David Rome is a Nurse Practitioner in Mesa, Arizona. Qualified in 2020, 6 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

2204 S Dobson Rd Ste 102
Mesa, AZ 85202-6457
Phone: (480) 500-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RNP246500 (AZ)

Record details

NPI number1144832916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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