Active NPI
Gabriella A Gomez, WHNP
- Obstetrics & Gynecology Physician
- Woodbridge, VA
National Provider Identifier
1124866546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0024190714
- Practice address
- 2296 Opitz Blvd Ste 440
Woodbridge, VA 22191-3355 - Phone
- (703) 878-0740
- Fax
- (703) 878-3933
- NPI assigned
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0024190714 | VA | Primary |
Addresses
Primary practice location
2296 Opitz Blvd Ste 440
Woodbridge, VA 22191-3355
Mailing address
2296 Opitz Blvd Ste 440
Woodbridge, VA 22191-3355
Phone (703) 878-0740
Other practice location 1
95 Dunn Dr
Stafford, VA 22556-1503
Phone (703) 878-0740
Other practice location 2
8998 Lorton Station Blvd Ste A
Lorton, VA 22079-4790
Phone (703) 878-0740
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 |
|---|---|---|---|
| 0024190714 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| About Women OB/GYN | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039435
Organizations & group practices 1
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.
-
- Specialist
- Woodbridge, VA
- NPI 1124129515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1124866546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2296 OPITZ BLVD STE 440",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913355",
"telephone_number": "703-878-0740",
"fax_number": "703-878-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 OPITZ BLVD STE 440",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913355",
"telephone_number": "703-878-0740",
"fax_number": "703-878-3933"
}
],
"practiceLocations": [
{
"address_1": "95 Dunn Dr",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225561503",
"country_code": "US",
"telephone_number": "703-878-0740",
"fax_number": "703-878-3933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8998 Lorton Station Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Lorton",
"state": "VA",
"postal_code": "220794790",
"country_code": "US",
"telephone_number": "703-878-0740",
"fax_number": "703-878-3933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "GABRIELLA",
"middle_name": "A",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0024190714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.