NPIMap

Individual provider Active NPI

Ilona Isabel Gomez, FNP

  • Family Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1093441677
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997724-NP Issued in CO
Practice address
8820 Huron St
Thornton, CO 80260-6805
Phone
(303) 386-7622
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN.0997724-NP CO Primary

Addresses

Primary practice location

8820 Huron St
Thornton, CO 80260-6805

Mailing address

13661 Leyden CT
Thornton, CO 80602-6986
Phone (303) 550-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025003408 CO Practitioner - Nurse Practitioner 7012383417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Practice addresses (Care Compare)

8820 Huron St
Thornton, CO 80260-6805
Phone (303) 386-7622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers LLP Single Specialty Current Accepting new patients
Rocky Mountain Cancer Centers LLP CurrentSince Aug 8, 2022 Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Aug 8, 2022 Accepting new patients

Locations

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

1800 N Williams St
Ste 200
Denver, CO 80218
Phone (303) 388-4876

7951 E Maplewood Ave
Ste 350
Greenwood Village, CO 80111

8820 Huron St
Thornton, CO 80260
Phone (303) 386-7622

Interoperability endpoints

  • Direct secure messaging: ilona.gomez@rmcc.ikm.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1093441677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13661 LEYDEN CT",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806026986",
            "telephone_number": "303-550-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 HURON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802606805",
            "telephone_number": "303-386-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ILONA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997724-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.