Individual provider Active NPI

Elise P Gomez Sanchez, DVM, PHD

  • Medical Research Veterinarian
  • Jackson, MS
National Provider Identifier
1922338946
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Research VeterinarianTaxonomy code 174MM1900X
License
1381 Issued in MS
Practice address
1500 E Woodrow Wilson Ave
151
Jackson, MS 39216-5116
Phone
(601) 368-3844
Fax
(601) 364-1236
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Research Veterinarian 174MM1900X 1381 MS Primary

Addresses

Primary practice location

1500 E Woodrow Wilson Ave
151
Jackson, MS 39216-5116

Mailing address

1500 E Woodrow Wilson Ave
151
Jackson, MS 39216-5116
Phone (601) 368-3844

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1381MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1922338946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "address_2": "151",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-368-3844",
            "fax_number": "601-364-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "address_2": "151",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-368-3844",
            "fax_number": "601-364-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ SANCHEZ",
        "first_name": "ELISE",
        "middle_name": "P",
        "credential": "DVM, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174MM1900X",
            "taxonomy_group": "",
            "desc": "Veterinarian, Medical Research",
            "state": "MS",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.