Melissa Brigit Gomez, RD
Individual provider Active NPI Registered Dietitian · Somerton, AZ
NPI 1548023138 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1548023138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86299294 (AZ)
- Practice address
- 950 E Main St BLDG B
Somerton, AZ 85350-7409 - Phone
- (928) 236-8001
- Fax
- (928) 627-1509
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Luis Walk-in Clinic Inc
Practice addresses (Care Compare)
151 S Oak Ave
San Luis, AZ 85336-0756
950 E Main St
Somerton, AZ 85350-7409
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240412001780 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 2769821560 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86299294 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Walk-in Clinic, Inc. | Current |
Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current |
Accepting new patients | |
| Regional Center for Border Health, Inc | Current |
Accepting new patients | |
| Yuma Regional Medical Center | Current |
Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients |
Locations
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
1130 E Main St
Somerton, AZ 85350
Phone (928) 627-2017
950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
3800 W 24th St
Yuma, AZ 85364
Phone (928) 336-1953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86299294 | AZ | Yes |
Addresses
Primary practice location
950 E Main St BLDG B
Somerton, AZ 85350-7409
Mailing address
PO Box 617
Somerton, AZ 85350-0617
Phone (928) 315-7910
Other practice location 1
151 S Oak Ave Ste 2
San Luis, AZ 85336-0756
Phone (928) 662-0414
Other providers in Somerton, AZ
- Criselda Flores
- Kimberly Gamboa
- Elizabeth Marie Garcia
- Lizeth Fabiola Garcia
- Phil Gladney
- Patricia Gonzalez
- Michelle Lynn Hall
- Greta Claudia Hernandez
- Katherine Rose Herrera
- Janett Hice
All providers in Somerton, AZ · Registered Dietitian in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.