Katrina Yvette Gomery

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333

Phone

(360) 612-0012

Fax

(360) 532-0670

NPI assigned

Nov 25, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Columbia Wellness

  • Case Management Agency
  • Longview, WA
  • NPI 1487659579
  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1396561353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986328140",
            "telephone_number": "360-612-0012",
            "fax_number": "360-577-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SIMPSON AVE STE 101",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204333",
            "telephone_number": "360-612-0012",
            "fax_number": "360-532-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMERY",
        "first_name": "KATRINA",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Noelle Gillies, BA
• Stephanie Gilstrom, S.W.
• Glenn P Hoot MD PHD PS Inc
• Annie Ruth Gobble
• Nikita Godfrey, APN-C
• Rachelle Joi Good
• Craig Phillip Goodface
• Brian Earl Goody, PA
• Brenda K Grant, M.D.
• Grays Harbor Cardiovascular Imaging, LLC

• Counselor in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.