Joe Dian Gomez, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1097066 Issued in TX

Practice address

9522 Marshall PT
San Antonio, TX 78240-4048

Phone

(210) 462-6170

NPI assigned

Jul 24, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patient Centrix PLLC

  • Family Medicine Physician
  • New Braunfels, TX
  • NPI 1972350593
  Medicare reassignment NPD
• US Multi-Specialty Group

  • Internal Medicine Physician
  • Round Rock, TX
  • NPI 1619526902
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013147032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 MARSHALL PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404048",
            "telephone_number": "210-462-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 MARSHALL PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404048",
            "telephone_number": "210-462-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JOE",
        "middle_name": "DIAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1097066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "1097066",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joe.gomez@mavs.uta.edu",
            "affiliation": "N",
            "endpointDescription": "joe.gomez@mavs.uta",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "9522 Marshall Pt",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782404048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy Gomez
• Jessica Gomez
• Jessica Ann Gomez, N.P
• Jessica Lee Gomez, M.S, CCC. SLP
• Joanna Ortiz Gomez, LCSW
• Jonathon Isaiah Gomez
• Josie Isabel Gomez, MACCCSLP
• Juanita Campos Gomez, LCSW
• Lizette Gomez, MD
• Magdalena Martinez Gomez

• Primary Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.