Kelly Gomez, MS, RDN, CD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

12415870-4901 Issued in UT

Practice address

5263 S Commerce Dr Ste 201
Salt Lake City, UT 84107-5306

Phone

(801) 882-7802

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Dexa Body Inc

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Murray, UT
  • NPI 1508488008
  NPD

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1114676558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 S COMMERCE DR STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 S COMMERCE DR STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075306",
            "telephone_number": "801-882-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "KELLY",
        "credential": "MS, RDN, CD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "12415870-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alwyn Gomez, BSC, MD, PHD, FRCSC
• Curtis Gomez
• Danielle Gomez
• Emily Gomez
• James Gomez
• Michael Andrew Gomez, PA-C
• Caterine Georgina Gongora Garcia
• Lyly Gonoratskiy, CSW
• Gonstead Chiropractic
• Gonstead Family Chiropractic

• Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.