Active NPI
Mildred Gomez
- Registered Nurse
- Anadarko, OK
National Provider Identifier
1083071575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 98291
- Practice address
- 201 East Parker McKenzine Drive
Anadarko, OK 73005 - Phone
- (405) 247-7900
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 98291 | OK | Primary |
Addresses
Primary practice location
201 East Parker McKenzine Drive
Anadarko, OK 73005
Mailing address
201 East Parker McKenzine Drive
Anadarko, OK 73005
Phone (405) 247-7900
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 |
|---|---|---|---|
| 98291 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Indian Hospital | Past | Accepting new patients | |
| Anadarko Indian Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1083071575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST PARKER MCKENZINE DRIVE",
"city": "ANADARKO",
"state": "OK",
"postal_code": "73005",
"telephone_number": "405-247-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EAST PARKER MCKENZINE DRIVE",
"city": "ANADARKO",
"state": "OK",
"postal_code": "73005",
"telephone_number": "405-247-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MILDRED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "98291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.