JEANNETTE MARIE GOMEZ (NPI# 1104435148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104435148 |
| Entity Type | Individual |
| Full Name | JEANNETTE MARIE GOMEZ |
| Credential | AGACNP |
| Practice Address |
7691 Poplar Ave Germantown TN 38138-3904 |
| Mailing Address |
1515 Winter Valley Dr Tupelo MS 38801-8121 |
| Practice Telephone | 9015166000 |
| Mailing Telephone | 9852229773 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
903959 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831585009 | Jeannette Gomez | Dietitian, Registered | 203 W 8th Ave, Kennewick, WA 99336-5630 | 2015-04-14 |
| Street Address |
7691 POPLAR AVE |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886926 | Robert Neal Rayder | Emergency Medicine | 7691 Poplar Ave, Attn: Emergency Room, Germantown, TN 38138-3904 | 2005-07-29 |
| 1710505391 | Joseph Brock Shemwell | Registered Nurse | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-07-09 |
| 1972129609 | Bonnie Elizabeth Ellzey | Registered Nurse | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-06-18 |
| 1164056693 | Tatyana Dromova Pasley | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-02-24 |
| 1255896957 | Hilary Kabel | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2019-02-06 |
| 1194205823 | Kimala Moseby-fowler | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138 | 2018-08-21 |
| 1467950105 | Tunja Rash | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2018-01-29 |
| 1952822843 | Christie Lynn Ragan | Specialist/Technologist, Other | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2017-06-29 |
| 1972023943 | Thomas Clay Carruth | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2017-06-21 |
| 1942741889 | Ladonna Renee Edwards | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3498 | 2017-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500123 | Marybeth Trutko Stockman | Nurse Practitioner | 18928 Liberty Mill Rd, Germantown, MD 20874-1414 | 2019-10-26 |
| 1760428239 | Cheryl Jane Spritzer | Nurse Practitioner | 12429 Milestone Center Drive, Suite 200, Germantown, MD 20876-0299 | 2006-06-21 |
| 1477199354 | Andrew Connor Ragin | Nurse Practitioner | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2019-11-26 |
| 1043793896 | Lindsay Mikaela Barton | Nurse Practitioner | 7600 Wolf River Blvd, Germantown, TN 38138 | 2018-09-07 |
| 1194205823 | Kimala Moseby-fowler | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138 | 2018-08-21 |
| 1497204911 | Deiadra Brown | Nurse Practitioner | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2016-09-26 |
| 1487109773 | Jena Parker Willis | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2016-08-17 |
| 1487059143 | Veronica Crowell | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2014-10-23 |
| 1023357860 | Cynthia Denise Bedford | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2013-02-13 |
| 1427301522 | Meredith Murray Edwards | Nurse Practitioner | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2012-10-26 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.