Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nidia Gamez , NURSE

Licensed Practical Nurse β€’ Enumclaw, WA

Active NPI 1457047565 Individual Practitioner Female Practitioner
Practice location in NPPES

2323 Jensen St, Enumclaw, Wa 98022
Enumclaw, WA 98022

Call 3608252541 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2323 Jensen St
Enumclaw, Wa 98022

Enumclaw, WA 98022

Telephone 3608252541
Organization at the Same NPPES Address or Phone
Evergreen Washington Healthcare Enumclaw, L.l.c. Facility NPI 1457346785

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enumclaw and Washington

23 active clinicians are listed under Licensed Practical Nurse with a practice address in Enumclaw, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Enumclaw

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA 61064484

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OR 2022114165

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES CA 695054

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Vocational Nurse

NUCC Taxonomy Code: 164X00000X

License # reported to NPPES ID 62868

An individual 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.

Licensed Vocational Nurse

NUCC Taxonomy Code: 164X00000X

License # reported to NPPES WA 61064484

An individual 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.

Skilled Nursing Facility

NUCC Taxonomy Code: 314000000X

License # reported to NPPES ID 62868

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 14, 2024

Registered at 2323 JENSEN ST, ENUMCLAW, WA 98022, ENUMCLAW, WA 98022 (Tel: 3608252541)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2024

Licensed Practical Nurse (license number reported to NPPES: OR 2022114165)

βœ…
NPI Profile Active April 14, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2023

Registered at 745 NE AVE, PORTLAND, OR 97230 (Tel: 5032520241)

πŸ“
Business Mailing Address (Initial Record) April 14, 2023

Registered at 3100 SE 168TH AVE APT 28, VANCOUVER, WA 986832104 (Tel: 9095102871)

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2023

Recorded as NIDIA GAMEZ, NURSE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2023

Skilled Nursing Facility (license number reported to NPPES: ID 62868)

🟒
Initial NPI Registration & Enumeration April 12, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1457047565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2023
Last Update: November 14, 2024
Sole Proprietor: Yes

Mailing Address

3100 Se 168th Ave Apt 28

Vancouver, WA 986832104

Phone: 9095102871

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.