DOMINIQUE HOLMES (NPI# 1427668151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427668151 |
| Entity Type | Individual |
| Full Name | DOMINIQUE HOLMES |
| Practice Address |
10343 S Western Ave Chicago IL 60643-2410 |
| Mailing Address |
7758 S Peoria St Apt 2 Chicago IL 60620-2824 |
| Practice Telephone | 7732382828 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041460162 | IL | Nursing Service Providers |
| Street Address |
10343 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683969 | James T Davenport | Psychologist | 10343 S Western Ave, The Psychology Center Inc, Chicago, IL 60643-2410 | 2005-10-20 |
| 1831799436 | Aaron Donald Chatman | Psychologist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2020-11-01 |
| 1417519265 | Tonye Denise Lattimore | Marriage & Family Therapist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2019-07-02 |
| 1326518523 | Rouchelle Macon | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2018-11-29 |
| 1518445790 | Shirley Burton | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2018-07-31 |
| 1295225613 | Latoya Johnson-foster | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2018-05-10 |
| 1700258175 | Tonika Michelle Archer | Marriage & Family Therapist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2015-10-26 |
| 1215233929 | Jessica Sectzer | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2011-01-28 |
| 1447576426 | Jessica Garfield | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2010-04-15 |
| 1730401621 | Joe Guse | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1710595012 | Tessa Cappel | Registered Nurse | 561 W Diversey Pkwy Ste 215, Chicago, IL 60614-1682 | 2020-07-22 |
| 1528686888 | Michael Solomon | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-07-13 |
| 1356970628 | Brenda Pacheco | Registered Nurse | 4840 W Byron St, Chicago, IL 60641-2778 | 2020-04-07 |
| 1053957977 | Luke Swift | Registered Nurse | 30 N Michigan Ave Ste 424, Chicago, IL 60602-3844 | 2019-11-26 |
| 1801445754 | Jennifer Peterson | Registered Nurse | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-09-04 |
| 1073060620 | Paul Edwards | Registered Nurse | 5215 N California Ave, F101, Chicago, IL 60625-7014 | 2016-09-01 |
| 1295106573 | Ruth Solomon Tupper | Registered Nurse | 5710 N Broadway St, Chicago, IL 60660-4302 | 2015-10-13 |
| 1669841508 | Hilda G Smith | Registered Nurse | 4848 W Irving Park Rd, Chicago, IL 60641-2718 | 2015-09-22 |
| 1629319009 | Matthew Zemburski | Registered Nurse | 734 W 47th St, Chicago, IL 60609-4411 | 2013-03-08 |
| Find all providers in CHICAGO | ||||
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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.