Individual provider Active NPI

Ivorry F Gomez, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1083922967
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
724796 Issued in TX
Practice address
9330 Poppy Dr Ste 302
Dallas, TX 75218-4640
Phone
(214) 660-2020
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 724796 TX Primary

Addresses

Primary practice location

9330 Poppy Dr Ste 302
Dallas, TX 75218-4640

Mailing address

10223 San Lorenzo Dr
Dallas, TX 75228-3026

Other practice location 1

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

Other identifiers 1

IdentifierTypeStateIssuer
282380902MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address igomez882571@direct.sw.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110726000464 TX Practitioner - Nurse Practitioner 3971771536 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
724796TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Ministries Inc. CurrentSince Jan 26, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 4, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 4, 2021 Accepting new patients
Healing Hands Ministries Inc. CurrentSince Jan 26, 2015 Accepting new patients
Catapult Health PA CurrentSince Dec 1, 2025 Accepting new patients
Catapult Health, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

8515 Greenville Ave
Ste N108
Dallas, TX 75243
Phone 2142210855 ext. 128

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: igomez882571@direct.sw.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1083922967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 SAN LORENZO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184640",
            "telephone_number": "214-660-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "IVORRY",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "724796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282380902",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "igomez882571@direct.sw.org",
            "affiliation": "N",
            "address_1": "4001 Worth St",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.