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Kathleen Gomez

Licensed Practical Nurse in Las Vegas, NV. Individual provider (NPI-1).

NPI number1699320168
StatusActive
Last updated in NPPESAug 1, 2019

Details

NPI
1699320168
Entity type
Individual (NPI-1)
Name
Kathleen Gomez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2019
Last updated
Aug 1, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN12458NVYes

Practice location

3675 Pecos McLeod Ste 900
Las Vegas, NV 89121-3899

Phone 702-538-7412

Mailing address

3675 Pecos McLeod Ste 900
Las Vegas, NV 89121-3899

Phone 702-538-7412

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Las Vegas, NV

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