JENNIFER AILEEN GOMEZ (NPI# 1356988083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356988083 |
| Entity Type | Individual |
| Full Name | JENNIFER AILEEN GOMEZ |
| Practice Address |
1133 Coloma Way Ste C Roseville CA 95661-4480 |
| Practice Telephone | 9167746647 |
| Mailing Telephone | 9167746647 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088755 | Jennifer Gomez | Behavior Technician | 20535 Sw 117th Ct, Miami, FL 33177-5421 | 2020-06-23 |
| 1427609601 | Jennifer Gomez | Technician | 9696 Valmeyer Ave, Las Vegas, NV 89148-5741 | 2019-09-27 |
| 1336705474 | Jennifer Gomez | Clinical Nurse Specialist | 1171 Edison Ave Apt 1, Bronx, NY 10461-6198 | 2019-05-14 |
| 1235605791 | Jennifer Gomez | In Home Supportive Care | 4107 Ne 20th St, Homestead, FL 33033-5357 | 2018-10-22 |
| 1780116624 | Jennifer Gomez | Behavior Technician | 14340 Sw 71st Ln, Miami, FL 33183-2116 | 2017-03-30 |
| 1356888135 | Jennifer Gomez | Specialist/Technologist | 6374 Gage Ave Unit 229, Bell Gardens, CA 90201-1867 | 2017-01-31 |
| 1871969337 | Jennifer Gomez | Occupational Therapy Assistant | 71 Louisiana Ave, Bridgeport, CT 06610-1542 | 2015-08-19 |
| 1689064164 | Jennifer Lynn Gomez | Physical Therapist | 8470 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-3550 | 2015-02-04 |
| 1164658613 | Jennifer Marie Gomez | Occupational Therapist | 5281 Primrose Ave, Indianapolis, IN 46220-3314 | 2009-06-10 |
| 1407007909 | Jennifer Gomez | Speech-Language Pathologist | 12283 Sw 27th St, Miami, FL 33175-2215 | 2008-10-02 |
| Street Address |
1133 COLOMA WAY STE C |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699822098 | Nationwide Medical Group, Inc | Clinic/Center | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2007-01-05 |
| 1952915076 | Anthony Souza | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-09-04 |
| 1558985929 | Delora Wiley | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-06-02 |
| 1043839590 | Tori Rooke | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-04-15 |
| 1871127555 | Lizbeth Lopez | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-03-02 |
| 1871137695 | Andre Tedrell Benson | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-11-05 |
| 1285286880 | Naesha Wells | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-07-12 |
| 1801454970 | Carla A Ghamami | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-06-03 |
| 1336707710 | Mey K Saelee | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| 1154989531 | Deva Barnes | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1316295082 | Pes-ebs.inc. | Counselor | 340 Lincoln St, Roseville, CA 95678-2230 | 2012-08-28 |
| 1871860890 | Raymond Richard Evans | Counselor | 2499 Rice Street, Roseville, MN 55113 | 2011-11-18 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| Find all providers in ROSEVILLE | ||||
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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.