MRS. DOMINIQUE PINILLA (NPI# 1124103965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124103965 |
| Entity Type | Individual |
| Full Name | MRS. DOMINIQUE PINILLA |
| Credential | FNP-C |
| Practice Address |
3720 Davinci Ct Ste 400 Norcross GA 30092-7625 |
| Mailing Address |
9517 Berwick Ct Grovetown GA 30813-8128 |
| Practice Telephone | 7065824462 |
| Mailing Telephone | 7064241401 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2833 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN253292 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-149350 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Pleasant Point Dr, Beaufort, SC 299071164 | 8036999073 | 8037642361 |
| Street Address |
3720 DAVINCI CT STE 400 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-7625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881653715 | Ije Ego Ofodile | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2006-03-20 |
| 1326659814 | Heidi Marie Marcelo | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2020-08-10 |
| 1093271124 | Jennifer Nicole Woodall | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2019-02-13 |
| 1598251779 | Jessica Joy Noggle Taylor | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2018-07-10 |
| 1629468160 | Ferric Clements | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2015-02-04 |
| 1831598721 | Dana Michelle Knight | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2014-08-18 |
| 1780932939 | Leah T Elrod | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092 | 2012-08-20 |
| 1316075765 | Kathy Dianne Robinson-waits | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2007-02-28 |
| 1326191834 | Deborah Lynn Cook | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2007-01-19 |
| 1285784785 | Annelore Harder Lenard | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2007-01-10 |
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| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
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| Find all providers in zip 30092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1790203487 | Lauren Sillery Oberg | Nurse Practitioner | 1942 Beaver Ruin Rd, Norcross, GA 30071-3828 | 2017-09-01 |
| 1275073397 | Quyen Phan | Nurse Practitioner | 6107 Oakbrook Pkwy, Norcross, GA 30093-1771 | 2017-03-08 |
| 1194107631 | Audra Elizabeth Moore | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093-5536 | 2015-06-21 |
| 1013304997 | Clinica Nueva LLC | Nurse Practitioner | 5944 Buford Hwy, Norcross, GA 30071-2444 | 2015-04-19 |
| 1982011359 | Rika Medical Clinic, LLC | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 700, Norcross, GA 30093-5535 | 2014-07-17 |
| 1740612985 | Amy Carmichael Maresca | Nurse Practitioner | 4356 Communications Dr, Norcross, GA 30093-2901 | 2013-07-30 |
| 1902165954 | Catherine Elizabeth Schempp | Nurse Practitioner | 5985 Peachtree Parkway, Norcross, GA 30092 | 2012-05-11 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.