Individual provider Active NPI

Isaac Gomez Garcia, MAT, LAT, ATC

  • Athletic Trainer
  • Kansas City, KS
National Provider Identifier
1538839527
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
24-01457 Issued in KS
Practice address
1913 Pinnacle Way
Kansas City, KS 66111-7100
Phone
(913) 387-3444
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2015023206 MO
Athletic Trainer 2255A2300X 24-01457 KS Primary

Addresses

Primary practice location

1913 Pinnacle Way
Kansas City, KS 66111-7100

Mailing address

1913 Pinnacle Way
Kansas City, KS 66111-7100

Other practice location 1

6310 Lewis Rd
Kansas City, MO 64132-3200
Phone (913) 387-3825

Other names 1

  • Isaac Gomez Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isaac.gomez@sportingkc.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

LicenseStateTypeSpecialty
24-01457KSMDAthletic Trainer
2015023206MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1538839527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 PINNACLE WAY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661117100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 PINNACLE WAY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661117100",
            "telephone_number": "913-387-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6310 Lewis Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641323200",
            "country_code": "US",
            "telephone_number": "913-387-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ GARCIA",
        "first_name": "ISAAC",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2015023206",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-01457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isaac.gomez@sportingkc.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "6310 Lewis Rd",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641323200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ISAAC",
            "last_name": "GOMEZ",
            "credential": "MAT, LAT, ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.