Active NPI
Kristen Gomez
- Occupational Therapist
- Plainfield, Il, IL
National Provider Identifier
1609419498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11914 Il Route 59
Suite 124
Plainfield, Il, IL 60585 - Phone
- (815) 729-2160
- Fax
- (815) 676-9090
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
11914 Il Route 59
Suite 124
Plainfield, Il, IL 60585
Mailing address
11914 Il Route 59
Suite 124
Plainfield, IL 60585
Phone (815) 729-2160
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1609419498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11914 IL ROUTE 59",
"address_2": "SUITE 124",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60585",
"telephone_number": "815-729-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 IL ROUTE 59",
"address_2": "SUITE 124",
"city": "PLAINFIELD, IL",
"state": "IL",
"postal_code": "60585",
"telephone_number": "815-729-2160",
"fax_number": "815-676-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.