KATELYN GOMEZ (NPI# 1538539762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538539762 |
| Entity Type | Individual |
| Full Name | KATELYN GOMEZ |
| Credential | R.N. |
| Practice Address |
6613 W Fairview Ave Milwaukee WI 53213-3934 |
| Practice Telephone | 6514919745 |
| Mailing Telephone | 6514919745 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 168813 | WI | Nursing Service Related Providers |
| Street Address |
6613 W FAIRVIEW AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53213-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417320136 | Nicholas Gomez | Registered Nurse | 6613 W Fairview Ave, Milwaukee, WI 53213-3934 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578835229 | Rosland Annette Anderson | Nursing Home Administrator | 6914 West Appleton Avenue, Milwaukee, WI 53216-2732 | 2012-01-26 |
| 1154303287 | Jim Enlund | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-15 |
| 1346223732 | Reginald Hislop IIi | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-21 |
| 1962484097 | Bette Hanel | Nursing Home Administrator | 3023 S 84th St, Milwaukee, WI 53227-3703 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821140039 | Paul Maulucci | Nursing Home Administrator | W20298 State Road 121, Whitehall, WI 54773-9685 | 2007-01-17 |
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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.