JENNIFER GOMEZ (NPI# 1639792716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639792716 |
| Entity Type | Individual |
| Full Name | JENNIFER GOMEZ |
| Credential | RN |
| Practice Address |
516 E Nizhoni Blvd Gallup NM 87301-5748 |
| Practice Telephone | 5057221790 |
| Mailing Telephone | 5057221790 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
943746 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088755 | Jennifer Gomez | Behavior Technician | 20535 Sw 117th Ct, Miami, FL 33177-5421 | 2020-06-23 |
| 1427609601 | Jennifer Gomez | Technician | 9696 Valmeyer Ave, Las Vegas, NV 89148-5741 | 2019-09-27 |
| 1336705474 | Jennifer Gomez | Clinical Nurse Specialist | 1171 Edison Ave Apt 1, Bronx, NY 10461-6198 | 2019-05-14 |
| 1235605791 | Jennifer Gomez | In Home Supportive Care | 4107 Ne 20th St, Homestead, FL 33033-5357 | 2018-10-22 |
| 1780116624 | Jennifer Gomez | Behavior Technician | 14340 Sw 71st Ln, Miami, FL 33183-2116 | 2017-03-30 |
| 1356888135 | Jennifer Gomez | Specialist/Technologist | 6374 Gage Ave Unit 229, Bell Gardens, CA 90201-1867 | 2017-01-31 |
| 1871969337 | Jennifer Gomez | Occupational Therapy Assistant | 71 Louisiana Ave, Bridgeport, CT 06610-1542 | 2015-08-19 |
| 1689064164 | Jennifer Lynn Gomez | Physical Therapist | 8470 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-3550 | 2015-02-04 |
| 1164658613 | Jennifer Marie Gomez | Occupational Therapist | 5281 Primrose Ave, Indianapolis, IN 46220-3314 | 2009-06-10 |
| 1407007909 | Jennifer Gomez | Speech-Language Pathologist | 12283 Sw 27th St, Miami, FL 33175-2215 | 2008-10-02 |
| Street Address |
516 E NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047846 | William Brant Hesidence II | Podiatrist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2005-07-18 |
| 1205437712 | Maryann T Park | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1649871054 | Lesley J Legah | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1659972073 | Carla B Patterson | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1770183733 | Logan Smolla | Pharmacist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-29 |
| 1497355499 | Christopher P Sherman | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-28 |
| 1164022414 | Margaret Krick | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-27 |
| 1780283416 | John Robert Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1366041006 | Tracy Michelle Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1306445473 | Stacey Leigh Cortez | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1144853730 | Phillip Witte | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-02-21 |
| 1205468212 | Sheryl Dee Tsiosdia | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-02-07 |
| 1740847953 | Sarah Curl | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-05-22 |
| 1649749433 | Johanna Chambers | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-11-21 |
| 1063991339 | Kevin Lawhorn | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-08-08 |
| 1508361676 | Michelle Stollsteimer | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-03-29 |
| 1871092601 | Jillian A Champion | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-02-07 |
| 1851890123 | Lisa S Macblane | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-02-01 |
| 1104350859 | Mario Bouchard | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-04-19 |
| Find all providers in GALLUP | ||||
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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.