Active NPI
Rosemary Gomez
- Speech-Language Assistant
- Mesa, AZ
National Provider Identifier
1043998966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA14531
- Practice address
- 9431 E Coralbell Ave Lot 13
Mesa, AZ 85208-5803 - Phone
- (480) 868-1004
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA14531 | AZ | Primary |
Addresses
Primary practice location
9431 E Coralbell Ave Lot 13
Mesa, AZ 85208-5803
Mailing address
9431 E Coralbell Ave Lot 13
Mesa, AZ 85208-5803
Phone (480) 868-1004
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA14531 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1043998966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 E CORALBELL AVE LOT 13",
"city": "MESA",
"state": "AZ",
"postal_code": "852085803",
"telephone_number": "480-868-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9431 E CORALBELL AVE LOT 13",
"city": "MESA",
"state": "AZ",
"postal_code": "852085803",
"telephone_number": "480-868-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ROSEMARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA14531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.