JUDITH ANTOINETTE CLAYTON GOMEZ (NPI# 1538576186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538576186 |
| Entity Type | Individual |
| Full Name | JUDITH ANTOINETTE CLAYTON GOMEZ |
| Other Name | MS. JUDITH ANTOINETTE CLAYTON |
| Credential | ARNP |
| Practice Address |
5201 Sw 196th Ln Southwest Ranches FL 33332-1111 |
| Practice Telephone | 9546480398 |
| Practice Fax Number | 3059640370 |
| Mailing Telephone | 9546480398 |
| Mailing Fax Number | 3059640370 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1089452 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
ARNP1089452 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5201 SW 196TH LN |
| City | SOUTHWEST RANCHES |
| State | FL |
| Zip Code | 33332-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1619212602 | Bella Family Dental Inc | Dentist | 19551 Sheridan St., Pembroke Pines, FL 33332 | 2012-12-03 |
| 1891067237 | Maria C Perez | Pharmacist | 3112 West 76th Street, Hialeah, FL 33332 | 2012-02-01 |
| 1982984704 | Physical Medicine and Rehabilitation Consultant, LLC | Physical Medicine & Rehabilitation | 6175 Sw 192nd Ave, Pembroke Pines, FL 33332 | 2011-08-24 |
| 1528290053 | Pro Image Diagnostics, Inc. | Radiologic Technologist | 20421 Southwest 50th Place, Southwest Ranches, FL 33332 | 2009-08-17 |
| 1265673461 | Preferred Care Management | Internal Medicine | 19451 Sheridan Street, Suite 176, Pembroke Pines, FL 33332 | 2009-03-18 |
| 1568608875 | Laguna Isles Dental, LLC | Dentist | 19551 Sheridan Street, Pembroke Pines, FL 33332 | 2008-12-17 |
| 1487099925 | Al Ventures, LLC | Home Health | 10400 Griffin Rd, 102, Cooper City, FL 33332 | 2013-05-09 |
| 1972939551 | Nicole Kross | Developmental Therapist | 5011 Sw 201st Ter, Southwest Ranches, FL 33332-1011 | 2013-09-16 |
| 1689016560 | Alternate Group Care, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20250 Sw 50th Pl, Southwest Ranches, FL 33332-1021 | 2013-07-22 |
| Find all providers in zip 33332 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHWEST RANCHES |
| Zip Code | 33332 |
Please comment or provide details below to improve the information on JUDITH ANTOINETTE CLAYTON 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.