Active NPI
Fabiola Gomez
- Massage Therapist
- South Jordan, UT
National Provider Identifier
1407596059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9796906-4701
- Practice address
- 10577 S Redwood Rd.
#110
South Jordan, UT 84095 - Phone
- (385) 418-7427
- NPI assigned
- Mar 31, 2022
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9796906-4701 | UT | Primary |
Addresses
Primary practice location
10577 S Redwood Rd.
#110
South Jordan, UT 84095
Mailing address
3477 W 6825 S
West Jordan, UT 84084-1719
Phone (801) 214-5832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Saint.Hands@icloud.com | Direct |
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 |
|---|---|---|---|
| 9796906-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1407596059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3477 W 6825 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840841719",
"telephone_number": "801-214-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10577 S REDWOOD RD.",
"address_2": "#110",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "385-418-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "FABIOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "9796906-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Saint.Hands@icloud.com",
"affiliation": "N",
"endpointDescription": "Business Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business Email",
"address_1": "3477 W 6825 S",
"city": "West Jordan",
"state": "UT",
"country_code": "US",
"postal_code": "84084",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.