Lacy Watson Gomoke, MS.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004157 Issued in VA

Practice address

3620 Calverton Way
Chesapeake, VA 23321-4463

Phone

(757) 484-9320

NPI assigned

Aug 6, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1639360530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 CALVERTON WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214463",
            "telephone_number": "757-484-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 CALVERTON WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214463",
            "telephone_number": "757-484-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMOKE",
        "first_name": "LACY",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "MS.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Goldman, DDS
• Cherubim Elretta Goldsby, M.D.
• Tracey Lynn Goldsby
• Hillary Arianne Gomez Mejia
• Janice M Gomoke, PT
• Gontarek Eye Care Optometrists LLC
• Gontarek Optometric Consultants, LLC
• Lisa V. Gontarek, O.D.
• Scott E Gontarek, O.D.
• Aliana Koral Gonzalez, LMT

• Speech-Language Pathologist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.