JUAN GOMEZ
NPI 1215530969
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since November 17, 2020
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0434 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Gomez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN GOMEZ (NPI 1215530969) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1215530969
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUAN GOMEZ
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0434
Sole ProprietorYes
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1215530969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1501 KINGS HWY, Shreveport, LA 71103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Gomez's NPI number?

The NPI number for Juan Gomez is 1215530969. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Juan Gomez located?

Juan Gomez practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0434.

What is Juan Gomez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Juan Gomez was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.