Active NPI
Caroline A Gommel, ATC
- Athletic Trainer
- Carlsbad, CA
National Provider Identifier
1043247851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3352 Donna Dr
Carlsbad, CA 92008-2011 - Phone
- (760) 712-7758
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
3352 Donna Dr
Carlsbad, CA 92008-2011
Mailing address
PO Box 263
Carlsbad, CA 92018-0263
Phone (760) 712-7758
Other practice location 1
3525 Paseo De Elenita Unit 172
Oceanside
Oceanside, CA 92056-4171
Phone (760) 712-7758
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | northcoastcpr.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1043247851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920180263",
"telephone_number": "760-712-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3352 DONNA DR",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082011",
"telephone_number": "760-712-7758"
}
],
"practiceLocations": [
{
"address_1": "3525 Paseo De Elenita Unit 172",
"address_2": "Oceanside",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920564171",
"country_code": "US",
"telephone_number": "760-712-7758",
"fax_number": "866-574-4138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMMEL",
"first_name": "CAROLINE",
"middle_name": "A",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "northcoastcpr.com",
"affiliation": "N",
"address_1": "3352 Donna Dr",
"city": "Carlsbad",
"state": "CA",
"country_code": "US",
"postal_code": "920082011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.