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KELLY VANESSA CORDOVA GOMEZ
NPI 1932960473
Licensed Vocational Nurse in Fairfield, CA

Active since January 22, 2024
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Vanessa Cordova Gomez NPPES

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

KELLY VANESSA CORDOVA GOMEZ (NPI 1932960473) is an individual licensed vocational nurse in Fairfield, California, licensed in California (736829) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1932960473
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY VANESSA CORDOVA GOMEZ
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 428-1131
Phone(707) 428-1131
Sole ProprietorNo
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1932960473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 736829
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2101 COURAGE DR, Fairfield, CA 94533
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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.

MS. JENNIFER RUTH PETTIBONE RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533
Solano County (707) 784-2154
MALISSA BLAIR RN
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 750-3000
ALISON LEGLER-HAUCK RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 639-4675
STEVEN MICHAEL ROCHA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (530) 902-6636
CHELSEA M KENNEDY
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2057
ROSANNA POLANCO-FIERRO ASW
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-3011
CRISSADHEL DUPA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 428-1131
CYNDI CAROL SMIT LMFT
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2224

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 Kelly Cordova Gomez's NPI number?

The NPI number for Kelly Cordova Gomez is 1932960473. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Kelly Cordova Gomez located?

Kelly Cordova Gomez practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 428-1131.

What is Kelly Cordova Gomez's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Cordova Gomez was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.