Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Kathleen Gomez, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1447723796

Blake Kathleen Gomez, CPNP-AC is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2018, 8 years ago. Practices with Children's Health Care, a 81-clinician group and works from 4 locations. Licensed in Illinois and Minnesota.

Years since qualifying
8
Licensed in
IL, MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-7888
Fax: (612) 813-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4400 W 95th St, Oak Lawn, IL 60453-2654 — (708) 684-8000
  • 1675 Dempster St, Park Ridge, IL 60068-1110 — (855) 312-5437
  • 345 Smith Ave N, Saint Paul, MN 55102-2346 — (612) 813-7888

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 8198 (MN)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence 209018598 (IL)

Record details

NPI number1447723796
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Children'S Health Care — 81 clinicians
Accepts Medicare assignment Not indicated

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