Individual provider Active NPI

Jessica Gomez

  • Speech-Language Pathologist
  • Bozeman, MT
National Provider Identifier
1689222010
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
300 N Willson Ave Ste 2005
Bozeman, MT 59715-3551
Phone
(406) 587-2755
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

300 N Willson Ave Ste 2005
Bozeman, MT 59715-3551

Mailing address

PO Box 1413
Three Forks, MT 59752-1413
Phone (305) 562-0241

Other practice location 1

200 Fleetwood Dr
Waynesville, MO 65583-2266
Phone (573) 842-2007

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Pea Speech L.L.C. CurrentSince Jul 22, 2025 Accepting new patients
Kids Talk Place LLC PastSince Sep 1, 2019 Accepting new patients
Kids Talk Place LLC PastSince Oct 17, 2021 Accepting new patients
The Cozy Nest Speech-Language Pathologist PastSince Dec 13, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1689222010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1413",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597521413",
            "telephone_number": "305-562-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 2005",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-587-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Fleetwood Dr",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832266",
            "country_code": "US",
            "telephone_number": "573-842-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.