Daisy Ivette Gomez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2627 Issued in NV

Practice address

2860 E Cheyenne Ave
North Las Vegas, NV 89030-4234

Phone

(702) 644-7777

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1619571080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 SEQUOIA PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397626",
            "telephone_number": "760-574-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304234",
            "telephone_number": "702-644-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DAISY",
        "middle_name": "IVETTE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Years Care Home LLC
• Stephanie Goldman
• Brock G Goldstein, LCSW
• Yendisleidy Gomez Carrillo
• Miguel Gomez Lucio
• George Michael Gomez
• Jacklyn Gomez
• Lourdes Gomez
• Monica Viviana Gomez
• Norvis Yessenia Gomez

• Occupational Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.