Blake Gomez, CPNP-AC

Individual Active
NPI 1447723796
Pediatric Nurse Practitioner Minneapolis, MN

NPI 1447723796 belongs to Blake Gomez, CPNP-AC, a pediatric nurse practitioner with a practice location in Minneapolis, MN. The NPI was issued on January 9, 2019, and the record was last updated in NPPES on May 26, 2021. The record lists 2 taxonomy codes. 3 additional practice locations are listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 8198 (MN)
Critical Care Pediatric Nurse Practitioner 363LP0222X 209018598 (IL)

Practice locations

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-7888
4400 W 95th St
Oak Lawn, IL 60453-2654
Phone: (708) 684-8000
1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (855) 312-5437
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone: (612) 813-7888

Local context

Active NPPES records list 418 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 339 of them within 10 miles.

The same primary taxonomy is listed by 478 in Minnesota and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Blake Kathleen Gomez
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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