Destini Rae Gomez, is a
Nurse Practitioner physician based in Santa Fe, New Mexico. Destini Rae Gomez is licensed to practice in New Mexico (license number 60815) and her current practice location is 1264 Rodeo Rd, Santa Fe, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 982-2129.
NPI number for Destini Rae Gomez is 1285376087 and her current mailing address is 1264 Rodeo Rd, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285376087.
Physician's Profile
Full Name | Destini Rae Gomez |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1264 Rodeo Rd, Santa Fe, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285376087
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 03/05/2025
Medical Identifiers
Medical identifiers for Destini Rae Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285376087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 60815 (New Mexico) | Secondary |
363L00000X | Nurse Practitioner | 60815 (New Mexico) | Primary |
163W00000X | Registered Nurse | 60815 (New Mexico) | Secondary |
207Q00000X | Family Medicine | 60815 (New Mexico) | Secondary |
207R00000X | Internal Medicine | 60815 (New Mexico) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destini Rae Gomez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Destini Rae Gomez, 1264 Rodeo Rd, Santa Fe, NM 87505-6816 Ph: (505) 982-2129 | Destini Rae Gomez, 1264 Rodeo Rd, Santa Fe, NM 87505-6816 Ph: (505) 982-2129 |
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