Individual provider Active NPI

Violeta Mercedes Gomez, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Belfair, WA
National Provider Identifier
1497985899
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
60912725 Issued in WA
Practice address
23211 NE State Route 3
Belfair, WA 98528-8599
Phone
(360) 358-3039
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60912725 WA
Pediatrics Physician 208000000X 60912725 WA
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 60912725 WA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 60912725 WA

Addresses

Primary practice location

23211 NE State Route 3
Belfair, WA 98528-8599

Mailing address

2341 NE Winlock Way
Poulsbo, WA 98370-9258
Phone (470) 733-0321

Other practice location 1

130 S 3rd St
Shelton, WA 98584-3533
Phone (360) 358-3039

Other practice location 2

2341 NE Winlock Way
Poulsbo, WA 98370-9258
Phone (206) 413-9310

Other identifiers 1

IdentifierTypeStateIssuer
2220474MedicaidWA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60912725WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winlock Pediatrics LLC Pediatrics CurrentSince Nov 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1497985899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 NE WINLOCK WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709258",
            "telephone_number": "470-733-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23211 NE STATE ROUTE 3",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288599",
            "telephone_number": "360-358-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985843533",
            "country_code": "US",
            "telephone_number": "360-358-3039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2341 NE Winlock Way",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983709258",
            "country_code": "US",
            "telephone_number": "206-413-9310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "VIOLETA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60912725",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60912725",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "WA",
            "license": "60912725",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "60912725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220474",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.