Healthcare Provider Details

I. General information

NPI: 1346103256
Provider Name (Legal Business Name): LINDSAY GOMEZ CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY RICE CNM

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

592 BONNIE BRAE AVE NE
WARREN OH
44483-5256
US

IV. Provider business mailing address

592 BONNIE BRAE AVE NE
WARREN OH
44483-5256
US

V. Phone/Fax

Practice location:
  • Phone: 330-622-2050
  • Fax: 330-622-2050
Mailing address:
  • Phone: 330-622-2050
  • Fax: 330-622-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License NumberRN.352895
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: