Active NPI
Jessica Gomez
- Behavior Analyst
- El Paso, TX
National Provider Identifier
1750752747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3 Butterfield Trail Blvd Ste 140
El Paso, TX 79906-4951 - Phone
- (800) 991-6070
- Fax
- (915) 304-0424
- NPI assigned
- Oct 15, 2015
- Last updated
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3 Butterfield Trail Blvd Ste 140
El Paso, TX 79906-4951
Mailing address
38 Half Moon Dr
El Paso, TX 79915-2655
Phone (915) 694-7437
Other practice location 1
1420 Carlisle Blvd NE
Albuquerque, NM 87110-5660
Phone (818) 241-6780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1750752747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 HALF MOON DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799152655",
"telephone_number": "915-694-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BUTTERFIELD TRAIL BLVD STE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "799064951",
"telephone_number": "800-991-6070",
"fax_number": "915-304-0424"
}
],
"practiceLocations": [
{
"address_1": "1420 Carlisle Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871105660",
"country_code": "US",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.