NPI age
3 years
Enumerated 2023-03-14
● Active
Type 1 · Individual
Tylie Danielle Roman, CNP
Roman is 1 of 3 nurse practitioner providers in Nampa and 1 of 39 in Idaho.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 39 active nurse practitioner providers in Idaho.
NPI age
3 years
↓ 2 yr below median (5 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
2
In the 48% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Practice location
1510 12th Ave Rd Ste 200
Nampa, ID 836866946
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
Additional practice locations
1 secondary location on file with NPPES.
Location 2
323 E Riverside Dr Ste 224
Eagle, ID 836166865
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
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Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.