Carson Chanell Gomez
Carson Chanell Davila · Nurse Practitioner

Address: 10060 Trotter Peak St, Las Vegas, NV 89178
Phone: (702) 234-1461

Carson Chanell Gomez (NPI# 1750806121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1750806121
Entity Type Individual
Full Name Carson Chanell Gomez
Other Name Carson Chanell Davila
Gender Female
Practice Address 10060 Trotter Peak St
Las Vegas
NV 89178
Practice Telephone (702) 234-1461
Mailing Address 3835 S Jones Blvd
Las Vegas
NV 89103-7125
Mailing Telephone 7022341461
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-08-07
Last Update Date 2018-07-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers APRN002941 NV

Physician Overview

NPI 1750806121
PAC ID by PECOS 1951656305
Professional Enrollment ID I20180626002453
Full Name Carson C Gomez
Phone Number 7028804193
Gender F
Graduation Year 2017
Group Practice PAC ID 0941256846
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Office Location

Street Address 10060 TROTTER PEAK ST
State NV
Zip Code 89178

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1588219117 Spring Valley Medical Center Emergency Medicine 9217 S Cimarron Rd, Las Vegas, NV 89178 2019-08-09
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1235678061 Albertsons LLC Durable Medical Equipment & Medical Supplies 7975 Blue Diamond Rd, Las Vegas, NV 89178 2017-02-13
1275991499 Mary Catherine Samuels Behavior Analyst 9401 Crimson Sky, Las Vegas, NV 89178 2016-02-02
1891178455 Pathways of Nevada Social Worker 8637 Tom Noon Ave., Las Vegas, NV 89178 2015-07-01
1376979609 Daniel Fisher Behavior Analyst 9350 S. Cimmaron Road Apt 2049, Las Vegas, NV 89178 2013-09-18
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Zip Code 89178

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.