Georgina F. Gomez-Lieberman, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CNP-02290 Issued in NM

Practice address

2025 Galisteo St
Santa Fe, NM 87505-2101

Phone

(505) 913-4901

Fax

(505) 913-6426

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Las Clinicas del Norte Incorporated

  dba Las Clincias del Norte - Los Alamos

  • Clinic/Center
  • Los Alamos, NM
  • NPI 1194372789
  NPD
• Las Clinicas del Norte, Incorporated

  dba El Rito Clinic

  • Federally Qualified Health Center (FQHC)
  • El Rito, NM
  • NPI 1053314831
  NPD

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1932539152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052101",
            "telephone_number": "505-913-4901",
            "fax_number": "505-913-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GALISTEO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052101",
            "telephone_number": "505-913-4901",
            "fax_number": "505-913-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-LIEBERMAN",
        "first_name": "GEORGINA",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP-02290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole B Golding, M.D.
• Aaron Samson Goldstein
• Morton H Goldstein, M.D.
• Avrum Golenberg
• Jacquelyn M Gomez-Bartek, D.D.S.
• Anita Paiz Gomez, M.D.
• Destini Rae Gomez
• Heaven Leigh Gomez
• Leticia Racquel Gomez, SLP
• Monique Gomez, LMT

• Pediatric Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.