CRYSTAL GOMEZ (NPI# 1275158438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275158438 |
| Entity Type | Individual |
| Full Name | CRYSTAL GOMEZ |
| Practice Address |
7601 S Redwood Rd West Jordan UT 84084-4007 |
| Practice Telephone | 8012338670 |
| Mailing Telephone | 8012338670 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688817 | Crystal Gomez | Registered Nurse | 1133 Belen Rd, El Paso, TX 79915-1723 | 2018-11-21 |
| 1760973218 | Crystal Gomez | In Home Supportive Care | 130 E 29th Ct, Des Moines, IA 50317-7704 | 2018-05-21 |
| 1033683941 | Crystal Marie Gomez | Behavioral Analyst | 11044 Washington Blvd Unit A, Whittier, CA 90606-3006 | 2019-01-14 |
| 1063988731 | Crystal Gomez | Case Manager/Care Coordinator | 6051 N Fresno St Ste 201, Fresno, CA 93710 | 2018-10-19 |
| 1568842862 | Crystal Gomez | Licensed Vocational Nurse | 36 S Kinneloa Ave Ste 200, Pasadena, CA 91107-3853 | 2015-06-02 |
| 1427450618 | Crystal Gomez | Massage Therapist | 1412 E Yelm Ave # C101, Yelm, WA 98597 | 2014-09-19 |
| Street Address |
7601 S REDWOOD RD |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508185059 | Erica Thoen | Social Worker | 7601 S Redwood Rd, Suite # E, West Jordan, UT 84084-4007 | 2010-05-24 |
| 1952914665 | John Wyman | Student in an Organized Health Care Education/Training Program | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2020-08-24 |
| 1033697008 | Tayler Jane Iversen | Social Worker | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2018-08-01 |
| 1326534199 | Samuel Thomas Fox | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2018-07-05 |
| 1942714886 | Stacy Robinson | Rehabilitation Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2017-11-30 |
| 1073051793 | Micky Curtis | Counselor | 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084-4007 | 2017-02-01 |
| 1366985400 | Nicolette Jane Reiss | Student in an Organized Health Care Education/Training Program | 7601 S Redwood Rd, E, West Jordan, UT 84084-4007 | 2016-11-21 |
| 1740649748 | Mary Colby | Social Worker | 7601 S Redwood Rd, Building E, West Jordan, UT 84084-4007 | 2016-02-18 |
| 1104224658 | Shad Scott | Counselor | 7601 S Redwood Rd, West Jordan, UT 84084-4007 | 2014-12-16 |
| 1053717553 | Joseph Criswell | Counselor | 7601 S Redwood Rd, Bldg E, West Jordan, UT 84084-4007 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709355 | Nicole Renae Ford | Case Manager/Care Coordinator | 6553 S 5135 W, West Jordan, UT 84081-3817 | 2020-01-22 |
| 1114225711 | Chelsea Mckell Crowford | Case Manager/Care Coordinator | 1641 W 6785 S, West Jordan, UT 84084-2450 | 2011-03-05 |
| 1811501489 | Jonathan Ramirez | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-09-01 |
| 1538785894 | Jocelyne Lopez | Case Manager/Care Coordinator | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2020-06-23 |
| 1932724234 | Zoe Annette Stucky | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
| 1750906053 | Gina Leorne Gerback | Case Manager/Care Coordinator | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2020-06-11 |
| 1841812732 | Amy Damian | Case Manager/Care Coordinator | 7625 S 3200 W, West Jordan, UT 84084-2800 | 2020-05-13 |
| 1912529827 | Valeria Rivera | Case Manager/Care Coordinator | 7625 S 3200 W, West Jordan, UT 84084-2800 | 2020-05-13 |
| 1790318780 | Adriana Rodriguez | Case Manager/Care Coordinator | 7625 S 3200 W Ste 2&4, West Jordan, UT 84084-2800 | 2020-02-18 |
| 1376181834 | Linda Martinez | Case Manager/Care Coordinator | 7625 S 3200 W Ste 2&4, West Jordan, UT 84084-2800 | 2019-12-16 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
Please comment or provide details below to improve the information on CRYSTAL GOMEZ.
| 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.