Kathleen Smith-Gomez, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP027072 Issued in PA

Practice address

728 Norristown Rd
Lower Gwynedd, PA 19002-2125

Phone

(877) 345-5300

NPI assigned

Apr 3, 2023

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1336844166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 185",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314000",
            "telephone_number": "877-345-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 NORRISTOWN RD",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022125",
            "telephone_number": "877-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GOMEZ",
        "first_name": "KATHLEEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayley Schwab
• Crystal Renea Seals, RD, LDN. CDE
• Billie Jo Sellman, LPC
• Sierra Susan Sheriff, M.A.
• Tanya Singh
• Frances Diane Smith, RN
• Springhouse Dermatology Inc
• Tia Suzanne Stauffer
• Joshua L Stelzer, DMD
• Kathryn Suchniak, LCSW

• Nurse Practitioner in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.