KATHERINE GOMEZ (NPI# 1063758225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758225 |
| Entity Type | Individual |
| Full Name | KATHERINE GOMEZ |
| Practice Address |
12930 Sw 128th St Suit 204a1 Miami FL 33186 |
| Mailing Address |
12930 Sw 128th St Suite 204a1 Miami FL 33186-6038 |
| Practice Telephone | 3055624683 |
| Mailing Telephone | 3055624683 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293938 | Katherine L Gomez | Behavior Technician | 221 King Fisher Way, Royal Palm Beach, FL 33411-8698 | 2018-08-02 |
| 1770099608 | Katherine Gomez | Behavior Technician | 4960 Nw 106th Ave, Coral Springs, FL 33076-2710 | 2017-12-14 |
| 1134607229 | Katherine Gomez | Nurse Practitioner | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028 | 2018-08-01 |
| Street Address |
12930 SW 128TH ST SUIT 204A1 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710157052 | The Shaping Academy for Behavioral Development | Community/Behavioral Health | 12930 Sw 128th St, Suite 204a1, Miami, FL 33186-6038 | 2008-03-03 |
| 1881041234 | Daily Valdes | Student in an Organized Health Care Education/Training Program | 12930 Sw 128th St, Miami, FL 33186-6038 | 2016-05-16 |
| 1619342946 | Karen Sepulveda | Student in an Organized Health Care Education/Training Program | 12930 Sw 128th St, Miami, FL 33186-6038 | 2015-12-11 |
| 1104111640 | Yanivis Machado-gonzalez | Counselor | 12930 Sw 128th St, Suite 204a1, Miami, FL 33186-6038 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| 1801494166 | Jason Duran | Student in an Organized Health Care Education/Training Program | 1457 Nw 50th St, Miami, FL 33142-4161 | 2020-10-09 |
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1457958662 | Cristian Perez | Student in an Organized Health Care Education/Training Program | 3060 Nw 96th St, Miami, FL 33147-2353 | 2020-10-01 |
| 1659988509 | Karen Hernandez | Student in an Organized Health Care Education/Training Program | 3871 Sw 147th Ave Apt 5, Miami, FL 33185-4006 | 2020-09-24 |
| 1255948329 | Joel Emilio Diaz-portorreal | Student in an Organized Health Care Education/Training Program | 14727 Sw 112th Ter, Miami, FL 33196-3326 | 2020-09-23 |
| 1205442043 | Elizabeth Granado | Student in an Organized Health Care Education/Training Program | 14293 Sw 145th Pl, Miami, FL 33186-6787 | 2020-09-17 |
| 1598370678 | Christian Marcos | Student in an Organized Health Care Education/Training Program | 2930 Sw 93rd Ct, Miami, FL 33165-3147 | 2020-09-15 |
| 1255944658 | Tali Epelbaum | Student in an Organized Health Care Education/Training Program | 3105 Ne 210th Ter, Miami, FL 33180-3911 | 2020-08-25 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.