Active NPI
Chicky Gomez, BMS
- Counselor
- Raton, NM
National Provider Identifier
1962804153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1273 S 2ND St
Raton, NM 87740 - Phone
- (575) 445-3557
- NPI assigned
- Sep 19, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1273 S 2ND St
Raton, NM 87740
Mailing address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
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": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1962804153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 S 2ND ST",
"city": "RATON",
"state": "NM",
"postal_code": "87740",
"telephone_number": "575-445-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "CHICKY",
"credential": "BMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-19",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.