CARSON CHANELL GOMEZ


Address: 10060 Trotter Peak St, Las Vegas, NV 89178
Phone: (702) 234-1461

CARSON CHANELL GOMEZ (NPI# 1750806121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750806121
Entity Type Individual
Full Name CARSON CHANELL GOMEZ
Other Name CARSON CHANELL DAVILA
Practice Address 10060 Trotter Peak St
Las Vegas
NV 89178
Mailing Address 3835 S Jones Blvd
Las Vegas
NV 89103-7125
Practice Telephone (702) 234-1461
Mailing Telephone 7022341461
Enumeration Date 2017-08-07
Last Update Date 2018-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN002941 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10060 TROTTER PEAK ST
City LAS VEGAS
State NV
Zip Code 89178

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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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City LAS VEGAS
Zip Code 89178

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Dataset Information

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.

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