KIMBERLY MICHELLE GOMEZ (NPI# 1164936621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164936621 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE GOMEZ |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
1601 Hwy 40 E Ste M Kingsland GA 31548 |
| Mailing Address |
3435 Second St S Folkston GA 31537-8447 |
| Practice Telephone | 9124090744 |
| Mailing Telephone | 9124960041 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9301655 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN206390 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Hwy 40 E, Ste M, Kingsland, GA 31548 | 9124090744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699260372 | Kimberly Cassandra Gomez | Behavioral Analyst | 2510 Fair Oaks Blvd Apt 147, Sacramento, CA 95825-7653 | 2018-06-26 |
| 1730478223 | Kimberly June Gomez | Nurse's Aide | 8064 South Avenue, Greenbriar Health Care, Youngstown, OH 44512 | 2011-04-05 |
| 1194898809 | Kimberly Anne Gomez | Speech-Language Pathologist | 605 W Bloomingdale Ave Ste F, Brandon, FL 33511-7405 | 2006-11-17 |
| 1598153074 | Kimberly Gomez | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2015-01-06 |
| 1548668841 | Kimberly Gomez | Physician Assistant | 1728 Sunrise Hwy, Merrick, NY 11566-3745 | 2014-12-18 |
| 1053752436 | Kimberly Gomez | Speech-Language Pathologist | 400 W 14th Ave, Amarillo, TX 79101-4140 | 2013-07-12 |
| 1942541909 | Kimberly Paola Gomez | Licensed Vocational Nurse | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2013-03-14 |
| 1396923645 | Kimberly Paige Gomez | Specialist | 28093 Smyth Dr, Valencia, CA 91355-4023 | 2008-02-07 |
| Street Address |
1601 HWY 40 E STE M |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721413 | Robert Houghteling, O.d., P.C. | Optometrist | 1601 Hwy 40 E, Suite N, Kingsland, GA 31548-6500 | 2012-05-14 |
| 1104221878 | Arnold Edd Holland IIi | Pharmacist | 1601 Hwy 40 E, Kingsland, GA 31548-6500 | 2014-10-23 |
| 1326455502 | Misty Shay Campbell | Pharmacist | 1601 Hwy 40 E, Kingsland, GA 31548-6500 | 2014-07-19 |
| 1326385162 | Ryan Manning Clements | Pharmacist | 1601 Hwy 40 E, Kingsland, GA 31548-6500 | 2013-01-14 |
| 1326079476 | K Mart Corp | Pharmacy | 1601 Hwy 40 E, Kingsland, GA 31548-6500 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686993 | Stephanie Schow | Nurse Practitioner | 126 Miller Ct, Kingsland, GA 31548-7107 | 2020-07-22 |
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1780193524 | Tammy Whitehead | Nurse Practitioner | 525 Ranch Road 2900, Kingsland, TX 78639-6000 | 2017-09-25 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083053045 | Donna Jean Hooks | Nurse Practitioner | 501 Kings Bay Rd, Kingsland, GA 31548-6803 | 2013-06-22 |
| 1780904052 | Lauren Mary-marie Cleveland | Nurse Practitioner | 130 N Gross Rd Ste 201, Kingsland, GA 31548-6277 | 2010-06-09 |
| 1063932101 | Cynthia Dawn White | Nurse Practitioner | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2017-06-20 |
| 1306392949 | Rosemary Wilson | Nurse Practitioner | 1375 E King Ave Ste A, Kingsland, GA 31548 | 2016-09-01 |
| 1700269958 | Courtney Marie Popwell | Nurse Practitioner | 711 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548-5664 | 2015-07-07 |
| 1912335100 | Kimberly H Graw | Nurse Practitioner | 130 N Gross Road, Suite 201, Kingsland, GA 31548 | 2013-10-24 |
| Find all providers in KINGSLAND | ||||
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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.