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

Tylie Danielle Roman, CNP

Individual provider Registered Nurse · NPI 1740981943

Tylie Danielle Roman, CNP is a Nurse Practitioner in Nampa, Idaho. Qualified in 2022, 4 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1510 12th Ave Rd Ste 200
Nampa, ID 83686-6946
Phone: (208) 302-6000
Fax: (208) 302-5455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 323 E Riverside Dr Ste 224, Eagle, ID 83616-6865 — (208) 302-6000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 60660 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 60660 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 60660 (ID)

Record details

NPI number1740981943
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 14, 2023
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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