Active NPI
Maria Grace Gomes
- Emergency Registered Nurse
- Peach Springs, AZ
National Provider Identifier
1245377316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 671937
- Practice address
- 943 Hualapai Way
Peach Springs, AZ 86434-0190 - Phone
- (928) 769-2959
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 26NO08505700 | NJ | |
| Emergency Registered Nurse | 163WE0003X | 671937 | TX | Primary |
| Ambulatory Care Registered Nurse | 163WP2201X | RN9224875 | FL |
Addresses
Primary practice location
943 Hualapai Way
Peach Springs, AZ 86434-0190
Mailing address
123 Long Pointe Dr
Mary Esther, FL 32569-1389
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 |
|---|---|---|---|
| 26NO08505700 | NJ | MD | Critical Care Medicine Registered Nurse |
| 671937 | TX | MD | Emergency Registered Nurse |
| RN9224875 | FL | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245377316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 LONG POINTE DR",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 HUALAPAI WAY",
"city": "PEACH SPRINGS",
"state": "AZ",
"postal_code": "864340190",
"telephone_number": "928-769-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "MARIA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NJ",
"license": "26NO08505700",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "671937",
"primary": true
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "FL",
"license": "RN9224875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peach Springs, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.