MYRNA VALERIE GOMEZ (NPI# 1598236838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598236838 |
| Entity Type | Individual |
| Full Name | MYRNA VALERIE GOMEZ |
| Practice Address |
1515 E Columbia St Othello WA 99344-1846 |
| Practice Telephone | 5094885256 |
| Practice Fax Number | 5094889939 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH60167246 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPARTMENT OF HEALTH | DH60167246 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 Columbia Ave, Connell, WA 993268702 | 5094885256 | 5094889939 |
| 601 Government Way, Mattawa, WA 99344 | 5094885256 | 5094889939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437205036 | Myrna Gomez | Pharmacist | Ave Lauro Pinero 266, Ceiba, PR 00735-0266 | 2007-01-26 |
| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507093 | Gabriel W Barrio | Pediatrics | 1515 E Columbia St, Othello, WA 99344-1846 | 2006-05-19 |
| 1821608647 | Loren P Knebl | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-08-06 |
| 1124646260 | Flower Star | Dietitian, Registered | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-07-06 |
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1073162152 | Lisa Braudrick | Speech-Language Pathologist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-10 |
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1265091490 | Kristen A. Mcculloch-stevens | Registered Nurse | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1508337841 | Sidney Puentes | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508337841 | Sidney Puentes | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-12-16 |
| 1114403581 | Ilona Buts | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-07-18 |
| 1538645114 | Sarah Segura | Dental Hygienist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-07-17 |
| 1386071454 | Lusila Judith Valdez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-10-03 |
| 1063849529 | Clarissa Jimenez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-09-30 |
| 1750507166 | Carissa L Russell | Dental Hygienist | 140 E Main Street, Othello, WA 99344 | 2007-04-17 |
| 1679635908 | Hong Hanh Thi Pham | Dental Hygienist | 140 E Main St, Othello, WA 99344 | 2006-12-14 |
| 1740351741 | Angie Mendez | Dental Hygienist | 140 E Main St, Othello, WA 99344 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
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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.