MRS. STEFANIE ANNE GOMEZ (NPI# 1467087742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467087742 |
| Entity Type | Individual |
| Full Name | MRS. STEFANIE ANNE GOMEZ |
| Credential | APRN, MSN, CPNP-PC |
| Practice Address |
2120 N Mays St Ste 430 Round Rock TX 78664-2108 |
| Mailing Address |
5805 Pescia St Round Rock TX 78665-4504 |
| Practice Telephone | 5129549347 |
| Mailing Telephone | 5125967422 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP143982 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2120 N MAYS ST STE 430 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407078561 | Melissa Delario | Pediatrics | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2007-05-02 |
| 1376010215 | Maricela Salazar | Social Worker | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2018-10-29 |
| 1871091520 | Marybeth Louise Wargo | Nurse Practitioner | 2120 N Mays St Ste 430, Round Rock, TX 78664 | 2018-01-29 |
| 1770093239 | Parth Pandya | Dental Hygienist | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2017-10-10 |
| 1689100166 | Kimberly Lindsey | Social Worker | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2017-05-03 |
| 1972961407 | Kaitlyn Wilkins | Physician Assistant | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2016-01-28 |
| 1922428390 | Kim Tran | Pediatrics | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2014-04-23 |
| 1376975268 | Biling Xu | Psychiatry & Neurology | 2120 N Mays St Ste 430, Round Rock, TX 78664 | 2013-08-02 |
| 1326375163 | Dydia Elva Burnsed | Social Worker | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2009-11-16 |
| 1396956348 | Sandra Maria Grisales | Social Worker | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366083727 | Annika Krupp | Nurse Practitioner | 7200 Wyoming Springs Dr Ste 200, Round Rock, TX 78681-4304 | 2019-10-07 |
| 1265073944 | Lenae Gross | Nurse Practitioner | 3950 N A W Grimes Blvd # N202, Round Rock, TX 78665-3540 | 2019-10-03 |
| 1679945125 | Laura Swann | Nurse Practitioner | 15930 S Great Oaks Dr Bldg B, Round Rock, TX 78681-5791 | 2015-10-23 |
| 1871091520 | Marybeth Louise Wargo | Nurse Practitioner | 2120 N Mays St Ste 430, Round Rock, TX 78664 | 2018-01-29 |
| 1770017378 | Julia David | Nurse Practitioner | 3950 N A W Grimes Blvd Ste N201, Round Rock, TX 78665-3540 | 2017-04-20 |
| 1194142331 | Alyssa Tough | Nurse Practitioner | 7200 Wyoming Spgs, Suite 200, Round Rock, TX 78681-4303 | 2014-03-26 |
| 1255766135 | Monica A Tullier | Nurse Practitioner | 7200 Wyoming Springs Dr, Suite 200, Round Rock, TX 78681-4303 | 2013-09-10 |
| 1558796821 | Kara Kasper Moellenberg | Nurse Practitioner | 15930 S Great Oaks Dr, Round Rock, TX 78681-5800 | 2013-09-05 |
| 1801237771 | Tammy Lynn Bradford | Nurse Practitioner | 425 University Blvd, Round Rock, TX 78665-1053 | 2013-07-08 |
| 1851600621 | Maureen Mullikin Havrilla | Nurse Practitioner | 7700 Cat Hollow Dr, Suite 104, Round Rock, TX 78681-5796 | 2010-09-28 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on MRS. STEFANIE ANNE 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.