MICHELLE EVELYN GOMEZ (NPI# 1710439641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710439641 |
Entity Type | Individual |
Full Name | MICHELLE EVELYN GOMEZ |
Credential | FNP |
Practice Address |
1066 N Power Rd Ste 101 Mesa AZ 85205-5709 |
Mailing Address |
1066 N Power Rd # Suie101 Mesa AZ 85205-5709 |
Practice Telephone | 4808070130 |
Mailing Telephone | 4808070130 |
Enumeration Date | 2016-10-26 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10811 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
10719 E Posada Ave, Mesa, AZ 852121878 | 4808894734 | |
2200 E Williams Field Rd Ste 200, Gilbert, AZ 85295 | 4804523399 | 4804521607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528568714 | Michelle A Gomez | Behavior Technician | 3510 Nw 95th St, Miami, FL 33147-2752 | 2018-02-14 |
1699703926 | Michelle M Gomez | Psychologist | Caparra Terrace, 813 29 Se Street, San Juan, PR 00921-0000 | 2006-06-28 |
1326692948 | Michelle P Gomez | Technician | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2019-07-31 |
1871067728 | Michelle Gomez | Behavioral Analyst | 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 | 2019-01-14 |
1558816009 | Michelle Lorena Gomez | Social Worker | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2016-08-24 |
1609279322 | Michelle Gomez | Rehabilitation Practitioner | 2241 W Williams St, Long Beach, CA 90810-3652 | 2014-10-08 |
1588910681 | Michelle Gomez | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2012-07-26 |
1992026173 | Michelle Gomez | Counselor | 100a Haverhill St, Methuen, MA 01844-4251 | 2010-06-22 |
Street Address |
1066 N POWER RD STE 101 |
City | MESA |
State | AZ |
Zip Code | 85205-5709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
Find all providers in zip 85205 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
1750995858 | Hayley Madler | Nurse Practitioner | 1061 N Omaha Cir, Mesa, AZ 85205-5023 | 2020-09-04 |
1043823800 | Nancy Lynn Mitchell | Nurse Practitioner | 1535 N 26th St, Mesa, AZ 85213-4151 | 2020-08-30 |
1003429218 | Krista Ann Clevenger | Nurse Practitioner | 3155 E Southern Ave Ste 203, Mesa, AZ 85204-5521 | 2020-08-26 |
1093326290 | Joshua Jackson | Nurse Practitioner | 5432 E Southern Ave Ste 101b, Mesa, AZ 85206-2772 | 2020-08-11 |
1790395531 | Kelly C Banonis | Nurse Practitioner | 3322 N Brighton, Mesa, AZ 85207-0997 | 2020-08-06 |
1689284911 | Katie Keil | Nurse Practitioner | 1061 N Dobson Rd Ste 107, Mesa, AZ 85201-7576 | 2020-08-02 |
1831711670 | Saraswati Hamal | Nurse Practitioner | 4850 S Curie Way, Mesa, AZ 85212-9582 | 2020-05-14 |
1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
1659992436 | Elizabeth Erb | Nurse Practitioner | 1361 S Alma School Rd, Mesa, AZ 85210-2085 | 2020-05-02 |
Find all providers in MESA |
Please comment or provide details below to improve the information on MICHELLE EVELYN 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.