Jacqueline Gomez,Pineda, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00020125 Issued in WA

Practice address

3900 Factoria Blvd SE
Factoria Plaza Suite #1
Bellevue, WA 98006-1234

Phone

(425) 445-0491

Fax

(206) 772-1163

NPI assigned

Oct 18, 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

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1801085592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 S 124TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784930",
            "telephone_number": "425-445-0491",
            "fax_number": "206-772-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FACTORIA BLVD SE",
            "address_2": "FACTORIA PLAZA SUITE #1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061234",
            "telephone_number": "425-445-0491",
            "fax_number": "206-772-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ,PINEDA",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Gomez, M.A., LMHC
• Alexandra Marie Gomez, MS, CCC-SLP
• Andrew Thomas Gomez, M.D.
• Manuel Gomez, CBT
• Marcela Gomez
• Eunice Gong, PT
• Aiyana Gonzalez
• Jadrien Gonzalez
• Limary Gonzalez, PA-C
• Sarah Gonzol, LMP

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.