CARRIE A DOMENICO (NPI# 1609059534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609059534 |
| Entity Type | Individual |
| Full Name | CARRIE A DOMENICO |
| Other Name | CARRIE A PICKERING |
| Credential | LPN |
| Practice Address |
5576 W 115th Pl Westminster CO 80020-6840 |
| Practice Telephone | 3034397441 |
| Mailing Telephone | 3034397441 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN-45452 | CO | Nursing Service Providers |
| Street Address |
5576 W 115TH PL |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80020-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1235599762 | Katie Coyle | Licensed Practical Nurse | 3964 Main St, 104, Westminster, CO 80031 | 2016-02-25 |
| 1306202312 | Brittany Rochlitz | Licensed Practical Nurse | 2907 W 81st Ave Apt B, Westminster, CO 80031-4138 | 2016-01-06 |
| 1013353382 | Terri Brown Wood | Licensed Practical Nurse | 600 Toccoa Hwy, Westminster, SC 29693-1638 | 2013-05-14 |
| 1154648756 | Jill M Gould | Licensed Practical Nurse | 11246 Quivas Loop, Westminster, CO 80234-2615 | 2010-04-23 |
| 1992031785 | Theodore Oughton | Licensed Practical Nurse | 2877 W 119th Ave, #104, Westminster, CO 80234-2536 | 2009-10-29 |
| 1275920118 | Lisa Pollard | Licensed Practical Nurse | 290 S Center St, Westminster, MD 21157-5219 | 2015-04-17 |
| 1518379585 | Rhonda Small | Licensed Practical Nurse | 1964 Oakway Rd, Westminster, SC 29693-5938 | 2014-05-27 |
| 1023420205 | Eugenia Toole | Licensed Practical Nurse | 501 Westminster Hwy, Westminster, SC 29693-1515 | 2014-05-22 |
| 1437561610 | Gina Martin | Licensed Practical Nurse | 600 Toccoa Hwy, Westminster, SC 29693-1638 | 2014-05-22 |
| 1407006224 | Mary Mcormick | Licensed Practical Nurse | 11245 Huron St, Westminster, CO 80234-2806 | 2008-09-29 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on CARRIE A DOMENICO.
| 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.