MS. TASHIKA GOMEZ (NPI# 1053575829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053575829 |
| Entity Type | Individual |
| Full Name | MS. TASHIKA GOMEZ |
| Credential | PNP |
| Practice Address |
428 S Alvord St Syracuse NY 13208-2720 |
| Practice Telephone | 3154354210 |
| Practice Fax Number | 3154354993 |
| Mailing Telephone | 3154354210 |
| Mailing Fax Number | 3154354993 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382654 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
428 S ALVORD ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992085666 | Dominique Rene Jones | Speech-Language Pathologist | 428 S Alvord St, Syracuse, NY 13208-2720 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1023633427 | Katherine Ellen Smith | Nurse Practitioner | 736 Irving Ave # 9100, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1114180015 | Tracey Jo Rheaume | Nurse Practitioner | 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624 | 2008-07-10 |
| 1538264312 | Nancy P Mitchell | Nurse Practitioner | 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 | 2006-09-14 |
| 1821616962 | Brittney Johnson | Nurse Practitioner | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2020-07-06 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1841858370 | Heather Pitts | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-05-30 |
| 1922572379 | Kristen Marie Maas | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-01-18 |
| 1225518707 | Erica Kendrew | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202 | 2018-08-15 |
| 1659868487 | Hollie Elizabeth Campbell | Nurse Practitioner | 725 Irving Ave Ste 503, Syracuse, NY 13210-1683 | 2018-04-17 |
| Find all providers in SYRACUSE | ||||
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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.