Individual
AMANDA M GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71005658A
IN
363LF0000X
Family Nurse Practitioner
71005658A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005658A
IN
363LP2300X
Primary Care Nurse Practitioner
71005658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000966323
ANTHEM PTAN
IN
01
—
000001271031
ANTHEM PTAN
IN
05
—
201330310
—
IN
01
—
Q00734130
RAILROAD PTAN
IN
Enumeration date
09/14/2015
Last updated
12/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us