KATHY L DOMIANO


Address: 504 Nw 10th Ave, Ava, MO 65608
Phone: 4176834831

KATHY L DOMIANO (NPI# 1265627970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265627970
Entity Type Individual
Full Name KATHY L DOMIANO
Credential FNP
Practice Address 504 Nw 10th Ave
Ava
MO 65608
Mailing Address 504 Nw 10th Ave
Po Box 1359
Ava
MO 65608
Practice Telephone 4176834831
Practice Fax Number 4176831602
Mailing Telephone 4176834831
Mailing Fax Number 4176831602
Enumeration Date 2007-09-06
Last Update Date 2008-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
154500 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 504 NW 10TH AVE
City AVA
State MO
Zip Code 65608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386619252 Jerriann Coxson Nurse Practitioner 504 Nw 10th Ave, Ava, MO 65608 2006-02-22
1871797597 Douglas County Public Health Services Group, Inc. Clinic/Center 504 Nw 10th Ave, Ava, MO 65608 2007-06-14
1568665883 Sybil Ann Fortner Dentist 504 Nw 10th Ave, Ava, MO 65608 2007-06-06
1649332545 Teresa Lynn Sherard Internal Medicine 504 Nw 10th Ave, Ava, MO 65608-0000 2006-12-15
1508896325 Brian Thomas Lenihan Physician Assistant 504 Nw 10th Ave, Ava, MO 65608 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306326871 Regional Services Nurse Practitioner 507 Ne 3rd St, Ava, MO 65608 2018-08-15
1629558168 Smith Management Services, LLC Durable Medical Equipment & Medical Supplies 916 N.w. Springfield Ave, Suite F, Ava, MO 65608 2018-08-15
1235639592 Carolyn Marie Myers Occupational Therapist 223 South Jefferson Street, Ava, MO 65608 2018-02-13
1114386497 Judy King Counselor 202 Nw Str Str 1, Ava, MO 65608 2016-02-16
1548653009 Grace Smith Pharmacist 124 West Washington Avenue, Ava, MO 65608 2015-03-09
1427397769 Rebecca L Mcbride Nurse Practitioner 120 W Lincoln Ave, Ava, MO 65608 2013-02-06
1154695716 Medical Equipment Inspection & Repair Durable Medical Equipment & Medical Supplies 122 East Washington Ave, Ava, MO 65608 2012-02-29
1932471695 Lacinda Kaye Higley Mechanotherapist 603 North West 10th Ave, Ava, MO 65608 2012-01-27
1972812592 Douglas County Public Health Services Group, Inc. Clinic/Center 603 Nw 10th Ave., Ava, MO 65608 2010-09-30
1013224047 Family Pharmacy Inc. Durable Medical Equipment & Medical Supplies 916 N.w. 12th Ave, Suite F, Ava, MO 65608 2010-09-13
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493275 Destemona Bozhani-marte Nurse Practitioner 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 2020-10-07
1437760675 Justin Lucas Sweetin Nurse Practitioner 7727 Weston Pl, Richmond Heights, MO 63117-2018 2020-08-12
1962043802 Bonne Terre Healthcare Clinic, LLC Nurse Practitioner 11 S Division St Ste A, Bonne Terre, MO 63628-1701 2019-10-02
1720639354 Anne Nicole Dailey Nurse Practitioner 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 2019-09-25
1326694605 Affirm Management and Consulting, LLC Nurse Practitioner 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 2019-08-13
1588122311 Meskerm Workiye Asfaw Nurse Practitioner 589 Vintage Grove Ct, Wildwood, MO 63038-2314 2019-03-11
1063983088 Jenny Lynette Brown Nurse Practitioner 6912 Candlewick Way, Florissant, MO 63033-5113 2018-12-17
1992270011 Andrew Joseph Gucciardo Nurse Practitioner 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 2018-10-04
1679065098 Aaron Dewayne Gitthens Nurse Practitioner 898 Sw State Route O, Osborn, MO 64474-9762 2018-06-01
1548763121 Jennifer Williams Nurse Practitioner 4618 Colima Ct, Saint Louis, MO 63128-2309 2018-03-09
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Competitor

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City AVA
Zip Code 65608

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Dataset Information

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.

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