Stephanie Gomez, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0017520 Issued in OK

Practice address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Phone

(580) 354-5000

Fax

(580) 354-5289

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lawton Indian Hospital

  • Clinic/Center
  • Lawton, OK
  • NPI 1134599848
  NPD (past) Authorized official

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1073979175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E BROADWAY ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730053018",
            "telephone_number": "405-933-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5000",
            "fax_number": "580-354-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0017520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Goetsch
• Stephanie Jill Goldman, LMT
• Jeffrey Golightly, M.D.
• Milaixa Gomez Torres, MD, PA
• Pastor Gomez Vazquez, M.D.
• Lorie Gonzales, LPN
• Anjelica Gonzalez Aponte
• Francisco Alejandro Gonzalez
• Katherine B Gooden
• Janelle Rae Goodin, COTA

• Licensed Practical Nurse in Lawton, OK
• Providers in Lawton, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.