Our staff is dedicated to treat you like a member of our own family.   Please meet them:

Katrina De Romana –  MSN, Family Nurse Practitioner

Hello, I am Katrina De Romana and I have been a nurse for 27 years.  I have 4 children and my husband is the office manager.   I am from central Illinois and attended Illinois Wesleyan University for my Bachelors degree in Nursing.  I have a large family in Illinois and we visit there often.   I moved to Pueblo, Colorado in 1991 where I worked in a Level I trauma center ER as a lead clinic nurse and nurse educator for many years.   My family and I moved to Castle Rock in 2004 and I worked at University Hospital in the Surgical ICU while pursuing my nurse practitioner degree.  In 2007, I graduated from the University of Colorado- Anschutz Campus with my Family Nurse Practitioner post Master’s certificate.  Since then I have worked in several settings providing primary care for patients of all ages.

As a nurse in the ER and ICU settings, I saw terrible chronic illnesses that were poorly controlled and people who were desperate for good primary care.  I became a Nurse Practitioner so that I could help prevent the consequences of chronic disease and help folks stay OUT of the ER and ICU’s as much as possible.   My patients find that I am a listener, teacher, promoter of good health and preventive care services, and as an Advanced Practice Nurse can diagnose and treat  acute and chronic illnesses commonly seen in a family practice setting.  I will advocate for you with other healthcare providers when needed and refer to specialists when appropriate.

Amanda Turecek, LMFT, LAC

Hi, I am Amanda Turecek and I offer a strengths-based and collaborative approach to counseling, specializing in anxiety, addictions, depression and trauma. Within an integrated framework I partner with you and your medical providers in order to help you move towards your behavioral health goals. In addition to providing a supportive, nonjudgmental space for you to talk, I often blend evidence-based treatments including cognitive behavioral (CBT) strategies and eye movement desensitization and reprocessing (EMDR) to help you reach your goals. Often this combination creates movement in areas you feel stuck by empowering you with concrete tools and strategies to use in daily life while stimulating healing from trauma and addictions.

I am a licensed Marriage and Family Therapist (LMFT) and Licensed Addictions Counselor (LAC) and have experience in community mental health centers, behavioral health hospitals, substance use disorder programs, and private practice. When I am not seeing clients, I enjoy spending time with my large blended family and exploring outdoor Colorado!

Santiana VanMaldeghem – Family Nurse Practitioner

Santiana has 13 years of nursing experience and provides full spectrum adult and pediatric care. Her interests include health and wellness, preventative medicine, chronic disease and women’s health.  She prefers to work with her patients in a team approach to attain each individual’s healthcare goal.  Originally from Florida, Santiana has been in Colorado for 18 years and enjoys spending time with her husband and twin boys. Her hobbies include cooking, reading, dancing and most outdoor activities.

Shawn Brekke – Family Nurse Practitioner

I have 25 years of experience as a Family Nurse Practitioner and have worked in family medicine, pediatrics, internal medicine and urgent care settings. My Masters of Nursing degree was obtained at California State University Long Beach. I also have thirteen years of teaching graduate level Nurse Practitioner students at CSULB in pathophysiology, physical assessment and clinical preceptorships.

Recently, I moved to Colorado from Orange County, California with my husband to be closer to family. We live in a great community here in Castle Rock. My interests have been traveling, photography, scrapbooking and gardening.

My goal with all my patients has always been to educate them as much as possible regarding their health care concerns. I want my patients to become active participants in their healthcare. Some of my strongest skills are my ability to communicate and educate/counsel my patients. Having knowledge and understanding on your side allows you to make informed decisions and changes that will benefit your short-term and long- term health goals. I look forward to helping you become the best you can be!

Christy Kazmeroff – Psychiatric NP

Hi, I am Christy Kazmeroff , a board-certified Family Nurse Practitioner, also board certified as a Psychiatric Mental Health Nurse Practitioner, as well as an Acute Care Nurse Practitioner. Through my career, I have worked in Urgent Care and Family Practice setting, as well as psychiatric private practice, behavioral health inpatient facilities, and Substance abuse residential treatment, treating dual diagnosis patients.
I now blend the knowledge and skills of my medical background and mental health into an integrated practice that strives to care for the whole person.   Currently pursuing my board certification by the American Board of Anti-Aging Health Practitioners (ABAAHP) as well as an advanced fellowship in functional medicine, my focus is on optimizing hormone levels, thyroid function, gut health as well as mental health. Please CLICK HERE to get more information about my practice, treatments and services.

Carlos De Romana

Carlos De Romana is Katrina’s husband and Business Manager.  He is an attorney from Peru and a business man.  He speaks Spanish and is available to interpret as needed.   You will meet him when you come for your visits on occasion.

Marissa Smith – MA, LPC, NCC

I enjoy spending my time at home with my partner and our young daughter. I grew up in Colorado, got my Bachelor’s in Psychology in Seattle,  then returned home to complete my Master’s in Counseling from University of Colorado Denver, graduating in 2014. I have worked mostly in the field of addiction, including eating disorders. I also work with adults with other struggles, including mood, anxiety, identity, grief, and relationships.


Preventative care

Well child physicals and vaccines
Adult physicals with cancer screenings
Vaccines for all ages
Pre-employment physicals
DOT physicals

Chronic condition care

Blood pressure management
Cholesterol management
Asthma and COPD management
Diabetes management
Thyroid condition management
And others!!


Joint injections
Skin Biopsy
Mole removal
Wart removal
Trigger point injections
Routine Gynecological exams