MR. DAVID ANTHONY DOMINGUEZ (NPI# 1689772469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689772469 |
Entity Type | Individual |
Full Name | MR. DAVID ANTHONY DOMINGUEZ |
Credential | APRN |
Practice Address |
814 Caroline Ave Junction City KS 66441-5210 |
Practice Telephone | 7857625250 |
Practice Fax Number | 7857622144 |
Mailing Telephone | 7857625250 |
Mailing Fax Number | 7857622144 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-04-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
112063 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6005013 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063935989 | David Dominguez | Dentist | 201 N Constitution Dr # 1, Aurora, IL 60506-3214 | 2017-07-23 |
1467694521 | David E. Dominguez | Orthopaedic Surgery | 141 Coconut Dr, Indialantic, FL 32903-2607 | 2009-04-03 |
1518923259 | David Y Dominguez | Pediatrics | 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 | 2006-04-21 |
1467953117 | David Dominguez | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-27 |
1205257763 | David Dominguez | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229 | 2013-12-30 |
1356422521 | David Alan Dominguez | Physician Assistant | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2006-10-17 |
1649360512 | David C. Dominguez | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-10-13 |
1780794917 | David Jaime Dominguez | Dentist | 17240 Mill Forest Rd, Ste A, Webster, TX 77598 | 2006-08-30 |
1366451122 | David Dominguez | Family Medicine | 1021 Silver Bluff Rd, Aiken, SC 29803 | 2006-08-07 |
Street Address |
814 CAROLINE AVE |
City | JUNCTION CITY |
State | KS |
Zip Code | 66441-5210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033157094 | Maria Ellis | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2006-06-03 |
1578174850 | Carson Tyler Gentry | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2020-08-11 |
1437768488 | Rhonda Michelle Whittaker | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2020-07-27 |
1740821784 | Trinda Chase | Licensed Practical Nurse | 814 Caroline Ave, Junction City, KS 66441-5210 | 2019-10-01 |
1700348505 | Derek Sampson Hobling | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2019-04-02 |
1285192864 | Ashley Asher | Licensed Practical Nurse | 814 Caroline Ave, Junction City, KS 66441-5210 | 2019-03-04 |
1164995106 | Ashley Mccabe | Counselor | 814 Caroline Ave, Junction City, KS 66441-5210 | 2019-01-02 |
1801387071 | Regan Schultz | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2018-05-23 |
1619412368 | Mattie-kay Stewart | Social Worker | 814 Caroline Ave, Junction City, KS 66441-5210 | 2017-01-04 |
1457807513 | Kamisha A Roedl | Marriage & Family Therapist | 814 Caroline Ave, Junction City, KS 66441-5210 | 2016-08-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
1528507258 | Mellevore, LLC | Occupational Therapist | 935 E 4th St, Junciton City, KS 66441 | 2017-02-14 |
1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
Find all providers in zip 66441 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376010793 | Melody Anne Morse | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
1861008732 | Georgette Musanase Kairanga | Nurse Practitioner | 9354 W 121st Ter, Overland Park, KS 66213-1547 | 2020-09-16 |
1720601982 | Jared Liebl | Nurse Practitioner | 3431 Deer Rdg, Rose Hill, KS 67133-8831 | 2020-05-22 |
1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
1184164543 | Susan Clavette Integrative Psychiatric Np LLC | Nurse Practitioner | 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 | 2017-03-06 |
1316300239 | Tapestry Psychiatric Services LLC | Nurse Practitioner | 529 N Lincoln Ave, Liberal, KS 67901-3309 | 2016-03-29 |
1609267806 | Theresa Mueller | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2015-02-10 |
Find all providers with the same taxonomy |
City | JUNCTION CITY |
Zip Code | 66441 |
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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.