NELLY J GOMEZ (NPI# 1245665926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245665926 |
| Entity Type | Individual |
| Full Name | NELLY J GOMEZ |
| Practice Address |
140 Nw 59th St Miami FL 33127-1218 |
| Mailing Address |
11031 Ne 6th Ave Miami FL 33161-7182 |
| Practice Telephone | 3057598888 |
| Practice Fax Number | 3057575989 |
| Mailing Telephone | 3053986100 |
| Mailing Fax Number | 3053986099 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5204866 | FL | Nursing Service Providers |
| Street Address |
140 NW 59TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33127-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871509943 | Harry W. Graff | Psychiatry & Neurology | 140 Nw 59th St, Miami, FL 33127-1218 | 2006-07-31 |
| 1639571763 | Tasha Berroa | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-09-19 |
| 1922415504 | Julian Enrique Vives | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-07-16 |
| 1053728790 | Banyan Community Health Center | Community/Behavioral Health | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-07-15 |
| 1164869871 | Kizzy Ann M Rose | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-06-04 |
| 1952640351 | Lonnie Lopez | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-02-05 |
| 1538406434 | Nelson J Gonzalez | Social Worker | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-01-11 |
| 1821351461 | Gemma Elizabeth Philage | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2012-06-19 |
| 1477819019 | Jessica Aubuchon | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2012-04-09 |
| 1447523246 | Lissette C. Hernandez | Registered Nurse | 140 Nw 59th St, Miami, FL 33127-1218 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410950 | Johana Correa | Behavior Technician | 3360 Nw 11th Pl Apt 103, Miami, FL 33127 | 2019-10-30 |
| 1639728827 | Sanctuary Therapeutic Counseling Services | Social Worker | 3246 N. Miami Avenue Suite A, #370585, Miami, FL 33127 | 2019-09-10 |
| 1811545825 | William M. Colson IIi | Technician | 5601 Nw 2nd Ave., 702, Miami, FL 33127 | 2019-09-03 |
| 1932613064 | Jose Luis Erice Lafont | Behavioral Analyst | 5715 Nw 2nd Ave Apt 806, Miami, FL 33127 | 2017-11-28 |
| 1134631658 | Ania Diaz | Behavior Technician | 2525 Nw 10th Ave Apt 206, Miami, FL 33127 | 2017-10-25 |
| 1891212056 | Amonise Creed | Massage Therapist | 94 Nw 50 Street, Miami, FL 33127 | 2017-08-28 |
| 1912423237 | Rakevia Lakeisha Mcknight | Lactation Consultant, Non-RN | 740 Nw 31st Street, Miami, FL 33127 | 2017-08-17 |
| 1902252380 | Las Palmas Alf, Corp | Assisted Living Facility | 1170 N.w. 26 St., Miami, FL 33127 | 2016-05-04 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| Find all providers in zip 33127 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556808 | Christopher Bloom | Licensed Practical Nurse | 4720 Nw 25th Ave, Miami, FL 33142-4650 | 2020-04-13 |
| 1437623824 | Shelly Dupera | Licensed Practical Nurse | 350 Ne 167th St, Miami, FL 33162-2303 | 2019-01-18 |
| 1053887380 | Richardson Aligre Pierre | Licensed Practical Nurse | 13145 Sw 196th St, Miami, FL 33177-4279 | 2018-10-14 |
| 1548735244 | Valerie Toussaint | Licensed Practical Nurse | 60 Nw 198th St, Miami, FL 33169-3352 | 2018-10-09 |
| 1487137568 | Aliocha A Evenou | Licensed Practical Nurse | 11940 Ne 16th Ave Apt 204, Miami, FL 33161-6608 | 2018-09-13 |
| 1407339740 | Marielle Dorvil | Licensed Practical Nurse | 789 Nw 118th St, Miami, FL 33168-2328 | 2018-09-12 |
| 1518456540 | Vanessa Lu Mills | Licensed Practical Nurse | 6600 Nw 27th Ave Ste 207, Miami, FL 33147-7220 | 2018-05-04 |
| 1487199279 | Odalys Ibarra | Licensed Practical Nurse | 14926 Sw 34th St, Miami, FL 33185-4844 | 2017-01-03 |
| 1033653183 | Sherri Denise Hawthorne | Licensed Practical Nurse | 1274 Nw 55th Ter, Miami, FL 33142-3132 | 2016-12-08 |
| 1053864173 | Sheila L Hall | Licensed Practical Nurse | 1490 Nw 138th St, Miami, FL 33167-1211 | 2016-07-25 |
| Find all providers in MIAMI | ||||
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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.