Dora Sandra Gomez, B.A., M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1273 Issued in NM

Practice address

38 Clarences Rd
Los Lunas, NM 87031-7682

Phone

(505) 864-0326

NPI assigned

Jan 8, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225186786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CLARENCES RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317682",
            "telephone_number": "505-864-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CLARENCES RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317682",
            "telephone_number": "505-864-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DORA",
        "middle_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "B.A., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J9842",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki D Giron
• Shantal Aime Giron, NP-C
• Charlotte R Glass, LPC
• Daniel Goldberg, PHARMD
• Annalisa Golowacz, MA, LPCC
• Roberto Matthew Gomez, PHARMD
• Alysha Gonzales
• Angelica Maria Gonzales
• Anthony D Gonzales, DDS
• Elsa Marie Gonzales, MSN, NP-C

• Speech-Language Pathologist in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.