SHAWNA DOMINGO (NPI# 1306124797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306124797 |
| Entity Type | Individual |
| Full Name | SHAWNA DOMINGO |
| Credential | LPN |
| Practice Address |
5965 S 900 E Salt Lake City UT 84121-1720 |
| Practice Telephone | 8012637100 |
| Mailing Telephone | 8012637100 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P52685 | IA | Nursing Service Providers |
| Street Address |
5965 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
| 1376908087 | Alyssa Milne | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-22 |
| 1053776138 | Rachel Feinberg | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-16 |
| 1174997894 | April Madsen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-18 |
| 1639542608 | Lauren Carah Christensen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-12 |
| 1154794725 | Claire Nitz | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-04 |
| 1063884427 | Jannah Lee Faumuina | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-26 |
| 1215309901 | Joni Whitaker | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-21 |
| 1295107076 | Anisa Plastow | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-20 |
| 1891166658 | Jennifer Wallace | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083882278 | Holly Jackson | Licensed Practical Nurse | 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 | 2008-02-11 |
| 1548881097 | Daysha Alayne Clukey | Licensed Practical Nurse | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-05-06 |
| 1336690106 | Maria Zagal-crosby | Licensed Practical Nurse | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2016-10-17 |
| 1275901134 | Gillean Gauvreau | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-09-09 |
| 1386027027 | Karah Hernandez | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-06-30 |
| 1003249426 | Lorie Lee Pierce | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2013-08-21 |
| 1184066185 | Steven Beard | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2013-07-19 |
| 1003167248 | Danielle Watson | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2012-09-27 |
| 1538410238 | Nancy Weaver | Licensed Practical Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2012-09-21 |
| 1124300660 | Amber Gregg | Licensed Practical Nurse | 344 E 100 S, Suite 301, Salt Lake City, UT 84111-1700 | 2011-09-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.