MARY R. GOMEZ (NPI# 1275974792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275974792 |
| Entity Type | Individual |
| Full Name | MARY R. GOMEZ |
| Credential | LADAC |
| Practice Address |
1611 Central Ave. Nw Albuq NM 87104 |
| Mailing Address |
1611 Central Ave Nw Albuquerque NM 87104-1139 |
| Practice Telephone | 5052474622 |
| Practice Fax Number | 5052471373 |
| Mailing Telephone | 5052474622 |
| Mailing Fax Number | 5052471373 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3678 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332549 | Mary Carmen Gomez | Assistant Behavior Analyst | 10960 Sw 144th Pl, Miami, FL 33186-6691 | 2018-07-10 |
| 1861878464 | Mary Gomez | Nurse Practitioner | 6806 Edinburgh Cv, Austin, TX 78749-2402 | 2015-08-05 |
| 1811973845 | Mary A Gomez | Nurse Practitioner | 124 S A St, Madera, CA 93638-3619 | 2005-12-21 |
| 1306367008 | Mary Elizabeth Gomez | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-07-03 |
| 1164958039 | Mary Gomez | Student in an Organized Health Care Education/Training Program | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2017-05-11 |
| 1255789657 | Mary Gomez | Student in an Organized Health Care Education/Training Program | 204 Hampton Drive, Venice, CA 90291 | 2016-05-26 |
| 1952788978 | Mary Gomez | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2015-04-28 |
| 1780799080 | Mary Astor Gomez | Nurse Practitioner | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2006-08-20 |
| 1134166416 | Mary Heather Gomez | Audiologist | 2950 Research Park Dr, Soquel, CA 95073-2000 | 2006-06-02 |
| Street Address |
1611 CENTRAL AVE. NW |
| City | ALBUQ |
| State | NM |
| Zip Code | 87104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1487057246 | Larry Steve Archuleta Sr. Sr. | Counselor | 1611 Central Nw, Alb., NM 87104 | 2014-10-07 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| 1083754519 | Laura M. Henry | Nurse Anesthetist, Certified Registered | 905 Kinley Avenue Nw, Albuquerque, NM 87104 | 2007-02-07 |
| Find all providers in zip 87104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
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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.