CARSON CHANELL GOMEZ (NPI# 1750806121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750806121 |
| Entity Type | Individual |
| Full Name | CARSON CHANELL GOMEZ |
| Other Name | CARSON CHANELL DAVILA |
| Practice Address |
10060 Trotter Peak St Las Vegas NV 89178 |
| Mailing Address |
3835 S Jones Blvd Las Vegas NV 89103-7125 |
| Practice Telephone | (702) 234-1461 |
| Mailing Telephone | 7022341461 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN002941 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10060 TROTTER PEAK ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1588219117 | Spring Valley Medical Center | Emergency Medicine | 9217 S Cimarron Rd, Las Vegas, NV 89178 | 2019-08-09 |
| 1447746623 | Sheila Heraypur | Dentist | 8525 Blue Diamond Road, Ste 110, Las Vegas, NV 89178 | 2018-07-10 |
| 1902314198 | Moderneyes Family Eye Care Magdato Guerrero Pllc | Optometrist | 7955 Blue Diamond Rd Ste 105, Las Vegas, NV 89178 | 2018-01-22 |
| 1801307947 | A Place of Hope Behavioral Health Services of Nevada | Clinic/Center | 8631 Isla Vista Valley Ct, Las Vegas, NV 89178 | 2017-10-17 |
| 1235678061 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 7975 Blue Diamond Rd, Las Vegas, NV 89178 | 2017-02-13 |
| 1275991499 | Mary Catherine Samuels | Behavioral Analyst | 9401 Crimson Sky, Las Vegas, NV 89178 | 2016-02-02 |
| 1891178455 | Pathways of Nevada | Social Worker | 8637 Tom Noon Ave., Las Vegas, NV 89178 | 2015-07-01 |
| 1629464243 | Mohamed Sharif | Psychiatry & Neurology | 9003 Greek Palace Ave, Las Vegas, NV 89178 | 2015-04-10 |
| 1376979609 | Daniel Fisher | Behavioral Analyst | 9350 S. Cimmaron Road Apt 2049, Las Vegas, NV 89178 | 2013-09-18 |
| Find all providers in zip 89178 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292381 | Chs Caring Providers | Nurse Practitioner | 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 | 2020-10-15 |
| 1376157628 | Elizabeth Diana Moura | Nurse Practitioner | 8044 Farthings Hill Dr, Las Vegas, NV 89166-3701 | 2020-09-03 |
| 1639782493 | 4 Life Mental and Wellness Health | Nurse Practitioner | 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 | 2020-08-30 |
| 1861018236 | Kikina Wong | Nurse Practitioner | 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 | 2020-06-22 |
| 1306462742 | Total Care Medical Group LLC | Nurse Practitioner | 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 | 2020-06-22 |
| 1588286124 | Simrit Kaur Saraon Msn Pllc | Nurse Practitioner | 4604 Erin Glen St, Las Vegas, NV 89147-7253 | 2020-05-16 |
| 1730709577 | Michelle Cappatocio | Nurse Practitioner | 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 | 2020-04-22 |
| 1992338800 | Kristen E Anderson | Nurse Practitioner | 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 | 2020-02-19 |
| 1275172173 | Joan Lou Paras Nakar | Nurse Practitioner | 9793 Dakota Creek Ct, Las Vegas, NV 89141 | 2019-12-26 |
| 1972149102 | Mobile Medical Group LLC | Nurse Practitioner | 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 | 2019-11-22 |
| Find all providers in LAS VEGAS | ||||
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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.