Nicole Mae Gomez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

844892 Issued in TX

Practice address

1101 Arrow Point Dr Ste 214
Cedar Park, TX 78613-7739

Phone

(512) 986-7743

NPI assigned

May 13, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Medication Assisted Recovery Services Mars, LLC

  • Methadone Clinic
  • Cedar Park, TX
  • NPI 1285346718
  NPD
• Medication Assisted Recovery Services Mars, LLC

  • Methadone Clinic
  • Cedar Park, TX
  • NPI 1689194151
  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1366291395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886",
            "fax_number": "602-854-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ARROW POINT DR STE 214",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137739",
            "telephone_number": "512-986-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NICOLE",
        "middle_name": "MAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "844892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa Goins, LCDC
• Mary Golden
• Joellen Smith Goldsberry, LPC
• Karen Goldsum, LPC
• Pallavi Golla
• Katlyn Gonzales, DPT
• Madison Lynne Gonzales, APRN, FNP-C
• Christina Michelle Gonzalez
• Isabela Gonzalez
• Lyndsey A Gonzalez, PA-C

• Registered Nurse in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.