Active NPI
Ashton Constance Gomez, LVN
- Licensed Vocational Nurse
- Amarillo, TX
National Provider Identifier
1356987176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 343737
- Practice address
- 1934 Medi Park Dr
Amarillo, TX 79106-2175 - Phone
- (806) 352-3900
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 343737 | TX | Primary |
Addresses
Primary practice location
1934 Medi Park Dr
Amarillo, TX 79106-2175
Mailing address
5707 Notre Dame Dr
Amarillo, TX 79109-6662
Phone (806) 206-2337
Other practice location 1
1625 Point West Pkwy
Amarillo, TX 79124-2170
Phone (806) 356-0700
Other practice location 2
1020 Tascosa Rd
Amarillo, TX 79124-1504
Phone (806) 322-8387
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA29887 | Other | TX | CERTIFIED MEDICATION AIDE |
| 343737 | Other | TX | LICENSED VOCATIONAL NURSE |
| NA0008357507 | Other | TX | CERTIFIED NURSES ASSISTANT |
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 |
|---|---|---|---|
| 343737 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1356987176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 NOTRE DAME DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791096662",
"telephone_number": "806-206-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 MEDI PARK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062175",
"telephone_number": "806-352-3900"
}
],
"practiceLocations": [
{
"address_1": "1625 Point West Pkwy",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791242170",
"country_code": "US",
"telephone_number": "806-356-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 Tascosa Rd",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791241504",
"country_code": "US",
"telephone_number": "806-322-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "ASHTON",
"middle_name": "CONSTANCE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "343737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MEDICATION AIDE",
"identifier": "MA29887",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED VOCATIONAL NURSE",
"identifier": "343737",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSES ASSISTANT",
"identifier": "NA0008357507",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.