DOMINIQUE D SHIELDS (NPI# 1669706933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669706933 |
| Entity Type | Individual |
| Full Name | DOMINIQUE D SHIELDS |
| Practice Address |
1526 S Front St Philadelphia PA 19147-5518 |
| Practice Telephone | 2154632000 |
| Practice Fax Number | 2154632200 |
| Mailing Telephone | 2154632000 |
| Mailing Fax Number | 2154632200 |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1526 S FRONT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625829 | Latoya S Goines | Technician, Pathology | 3447 N Hope St, Philadelphia, PA 19140-4616 | 2020-09-25 |
| 1285294918 | Fatima Elizabeth Valladares | Technician, Pathology | 9601 Ashton Rd Apt J10, Philadelphia, PA 19114-2415 | 2019-06-14 |
| 1033675723 | Kahlil Thomas | Technician, Pathology | 1540 S Stillman St, Philadelphia, PA 19146-4408 | 2019-02-18 |
| 1720544182 | Dawn Annissa Huling | Technician, Pathology | 44 E Collom St, Philadelphia, PA 19144-2319 | 2019-02-11 |
| 1740763341 | Healing Hands Mobile Phlebotomy | Technician, Pathology | 7812 Rugby St, Philadelphia, PA 19150-2510 | 2018-09-10 |
| 1215373790 | Donna M Norman | Technician, Pathology | 2611 S 66th St, Philadelphia, PA 19142-2802 | 2013-05-10 |
| 1114118627 | Carmella Diane Moregrass | Technician, Pathology | 1432 S 56th St, Philadelphia, PA 19143-4733 | 2007-08-08 |
| 1871989673 | Accurate Stick Mobile Phlebotomy Services | Technician, Pathology | 2830 W Clementine St, Philadelphia, PA 19132-1234 | 2015-04-09 |
| 1558789461 | Denise Ransom | Technician, Pathology | 6725 Grovers Ave, Philadelphia, PA 19142-2608 | 2014-03-29 |
| 1962730226 | Stephanie Michelle Joyner | Technician, Pathology | 3858 Pulaski Ave, Philadelphia, PA 19140-3540 | 2009-11-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on DOMINIQUE D SHIELDS.
| 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.