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MR. NICOLAS SHANE GOMEZ NAVY DIVE IDC
NPI 1689933210
Military Health Care Provider - Independent Duty Corpsman in Everett, WA

Active since May 16, 2012
2000 W MARINE VIEW DR, BLDG 2202 PSNS/IMF DIVE LOCKER - MEDICAL, EVERETT, WA 98207(425) 304-5504 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicolas Shane Gomez Navy Dive Idc NPPES

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

MR. NICOLAS SHANE GOMEZ NAVY DIVE IDC (NPI 1689933210) is an individual independent duty corpsman provider in Everett, Washington and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1689933210
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. NICOLAS SHANE GOMEZCredential: NAVY DIVE IDC
Location Address2000 W MARINE VIEW DR, BLDG 2202 PSNS/IMF DIVE LOCKER - MEDICALEverett, WA 98207-0001
Mailing Address2000 W Marine View Dr, Bldg 2202 Psns/imf Dive Locker - MedicalEverett, WA 98207-0001 · (425) 304-5504
Phone(425) 304-5504
Sole ProprietorNo
Enumeration DateMay 16, 2012
✔ NPI 1689933210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2000 W MARINE VIEW DR, Everett, WA 98207
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Other Names 1

Other Name (5)Mr. Nick Shane Gomez Navy Dive Idc

Other Providers at the Same Location NPPES 19

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

JOSEPH RICHARD DRONCHI
Personal Emergency Response Attendant
2000 W MARINE VIEW DR, BLDG 2134
EVERETT, WA 98207
Snohomish County (619) 767-1497
SCOTT DAVID WEBER M.D.
Family Medicine
2000 W MARINE VIEW DR, BLDG 2010
EVERETT, WA 98207
Snohomish County (425) 304-4082
MR. RAYMOND ALAN GOLDEN HM
Personal Emergency Response Attendant
2000 W MARINE VIEW DR, BLDG 2134
EVERETT, WA 98207
Snohomish County (425) 304-4790
JOSE MARIA OLYMPIA LORENZANA RN
Registered Nurse (Case Management)
2000 W MARINE VIEW DR
EVERETT, WA 98207
Snohomish County (425) 304-4068
MR. ARMANDO GARZA I.D.C.
Military Health Care Provider (Independent Duty Corpsman)
2000 W MARINE VIEW DR
EVERETT, WA 98207
Snohomish County (425) 304-4066
ANTHONY GERARD BATTAGLIA MD
Family Medicine
2000 W MARINE VIEW DR, BRANCH HEALTH CLINIC EVERETT
EVERETT, WA 98207
Snohomish County (425) 304-4142
DR. STEVEN MARK WOLFF DMD
Dentist
2000 W MARINE VIEW DR, BUILDING 2010
EVERETT, WA 98207
Snohomish County (425) 304-4147
BRANCH MEDICAL CLINIC EVERETT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2000 W MARINE VIEW DR, BLDG 2010
EVERETT, WA 98207
Snohomish County (425) 304-4060

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 Nicolas Gomez's NPI number?

The NPI number for Nicolas Gomez is 1689933210. It was assigned to this individual provider in the NPPES registry on May 16, 2012. The provider is also known as Mr. Nick Shane Gomez Navy Dive Idc.

Where is Nicolas Gomez located?

Nicolas Gomez practices at 2000 W Marine View Dr Bldg 2202 Psns/Imf Dive Locker - Medical, Everett, WA 98207. The listed phone number is (425) 304-5504.

What is Nicolas Gomez's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Nicolas Gomez was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.