Sandra Gomez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

154300 Issued in OH

Practice address

600 Freedom Drive
Napoleon, OH 43545

Phone

(419) 599-1660

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1568996882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FREEDOM DR",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459038",
            "telephone_number": "419-599-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FREEDOM DRIVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "43545",
            "telephone_number": "419-599-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SANDRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "154300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn R Gillen, LPN
• Sarah Lynn Gioiella, MS, QMHS, CMS
• Kayla Marie Giovarelli, RDH
• Dawn Marie Glaze, PTA
• Andrew Carrington Gombash, D.O.
• Chillim Gonzales, COTA/L
• Jeffery Gonzales, QMHS
• Kourtney Gossard
• Diane Marie Gottron, LSW
• Gary A Grego, M.D.

• Licensed Practical Nurse in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.