Cara Gomez, ED.D, ATC, CSCS
Individual provider Active NPI Athletic Trainer · Clayton, DE
NPI 1629512751 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1629512751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- J3-0000301 (DE)
- Practice address
- 211 Highland Ave
Clayton, DE 19938 - Phone
- (305) 975-4949
- NPI assigned
- Dec 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3-0000301 | DE | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | J3-0000301 | DE | Yes |
Addresses
Primary practice location
211 Highland Ave
Clayton, DE 19938
Mailing address
PO Box 395
211 Highland Ave
Clayton, DE 19938
Phone (305) 975-4949
Other providers in Clayton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.