Kathleen Magdales Gomez, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP70041331 Issued in WA

Practice address

8404 27TH St W
University Place, WA 98466-2723

Phone

(253) 900-1605

Fax

(253) 900-1612

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Icare Psychiatry PLLCGroup PAC ID 7618497033, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Icare Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, WA
  • NPI 1043021595
  Medicare reassignment Care Compare group NPD
• Zova Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kent, WA
  • NPI 1336033026
  NPD

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1700524493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 LAFAYETTE ST",
            "address_2": "P.O BOX 881009",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983881307",
            "telephone_number": "253-414-1983",
            "fax_number": "253-234-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 27TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984662723",
            "telephone_number": "253-900-1605",
            "fax_number": "253-900-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19435 68th Ave S Ste S102",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980322114",
            "country_code": "US",
            "telephone_number": "253-414-1983 x601",
            "fax_number": "253-234-9567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "KATHLEEN",
        "middle_name": "MAGDALES",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61021853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70041331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Morris, Ms, LMFT, LLC
• GN Hearing Care Corp (Beltone Electronics)
• Melissa Goff
• Kate Gohring, LMHC
• Shannon Sue Goldsberry, L.M.P.
• Renee Elizabeth Gomez
• Susan Marie Gormley, RN
• Gravelly Lake Physical Therapy, Inc.
• Jade Graves, DPT
• Aaron Amon Greene

• Psychiatric/Mental Health Nurse Practitioner in University Place, WA
• Providers in University Place, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.