Destini Rae Gomez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

60815 Issued in NM

Practice address

1264 Rodeo Rd
Santa Fe, NM 87505-6816

Phone

(505) 982-2129

NPI assigned

Apr 12, 2022

Last updated

Mar 5, 2025By 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 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• New Mexico Treatment Services LLC

  • Community/Behavioral Health Agency
  • Espanola, NM
  • NPI 1851197461
  NPD
• Albuquerque Treatment Services LLC

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1801032958

  Family Medicine

  NPD (past)
• New Mexico Treatment Services LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1265683049

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1285376087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056816",
            "telephone_number": "505-982-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056816",
            "telephone_number": "505-982-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DESTINI",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "60815",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "60815",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "60815",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "60815",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "60815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "destini.gomez@nmts.us",
            "affiliation": "N",
            "address_1": "1264 Rodeo Rd",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875056816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morton H Goldstein, M.D.
• Avrum Golenberg
• Jacquelyn M Gomez-Bartek, D.D.S.
• Georgina F. Gomez-Lieberman, CNP
• Anita Paiz Gomez, M.D.
• Heaven Leigh Gomez
• Leticia Racquel Gomez, SLP
• Monique Gomez, LMT
• Stella Christina Gomez, LMSW
• Robbie James Gondara

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.