| Kelly Gomez, MS, RDN, CD, LD | |
|
5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306 | |
| (801) 882-7802 | |
| Not Available |
| Full Name | Kelly Gomez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5263 S Commerce Dr Ste 201, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114676558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 12415870-4901 (Utah) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Gomez, MS, RDN, CD, LD 5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306 Ph: () - | Kelly Gomez, MS, RDN, CD, LD 5263 S Commerce Dr Ste 201, Salt Lake City, UT 84107-5306 Ph: (801) 882-7802 |
Andrea Addley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1174 E Graystone Way Ste 1a, Salt Lake City, UT 84106 Phone: 801-664-2182 | |
Ms. Erinn Meyer, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8th Ave & C St, Salt Lake City, UT 84143 Phone: 804-408-1760 | |
Krista Skye Viau, MS, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-587-9590 | |
Amelia Pape, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2079 S 1200 E Unit 210, Salt Lake City, UT 84105 Phone: 970-231-7392 | |
Dakota Wren Chetrit, PA-C, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 565 S Komas Dr, Salt Lake City, UT 84108 Phone: 801-584-5144 | |
Carol Fletcher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-4017 | |
Sara Stevenson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5325 |