Violet A Gomes, DNP, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

79580 Issued in KS

Practice address

818 N 7TH St
Leavenworth, KS 66048-1422

Phone

(136) 518-8609

Fax

(913) 682-4409

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atchison Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1407108335
  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Atchison Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1619846029
  NPD (past)
• Atchison Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Leavenworth, KS
  • NPI 1710725288
  NPD (past)
• County of Leavenworth

  • State or Local Public Health Clinic/Center
  • Leavenworth, KS
  • NPI 1174540256
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1609407477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N 7TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481422",
            "telephone_number": "136-518-8609",
            "fax_number": "913-682-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N 7TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481422",
            "telephone_number": "136-518-8609",
            "fax_number": "913-682-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "VIOLET",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "79580",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "KS",
            "license": "108956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Goddard
• Arrianna Noel Goff
• Kolby Goff
• Wassan Cook Goff, LCSW
• Lori Ann Golon, MD
• Kalyn Nicole Goodin
• Dana Goodman
• Teresa Kay Goodpasture
• Debra Lynne Goss, RN
• Chloe Rose Grabanski, LPC-T

• Nurse Practitioner in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.