MS. ELIZABETH RUTH DOMINGUEZ (NPI# 1740768498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740768498 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH RUTH DOMINGUEZ |
| Credential | LVN |
| Practice Address |
100 E Ferguson St Ste 608 Tyler TX 75702-5756 |
| Mailing Address |
4615 Peavy Switch Rd Lufkin TX 75904-7396 |
| Practice Telephone | 9037050070 |
| Practice Fax Number | 9034053932 |
| Mailing Telephone | 4693869427 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 228182 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851818702 | Elizabeth Dominguez | Occupational Therapist | 3904 Victoria Dr, West Palm Beach, FL 33406-4997 | 2017-08-22 |
| 1609851955 | Elizabeth Maria Dominguez | Nurse Anesthetist, Certified Registered | 230 West 32 St., Hialeah, FL 33012 | 2005-12-09 |
| 1346607173 | Elizabeth Dominguez | Specialist/Technologist | 12411 Slauson Ave Ste H, Whittier, CA 90606-2835 | 2016-01-25 |
| 1801149471 | Elizabeth Anne Dominguez | Psychologist | 2073 Olympic St, Springfield, OR 97477-3413 | 2012-10-19 |
| 1821317348 | Elizabeth Dominguez | Nurse's Aide | 1441 Constitution Blvd, Bldg 200, Floor 1, Suite 103, Salinas, CA 93906-3100 | 2010-05-24 |
| 1184784886 | Elizabeth Anne Dominguez | Social Worker | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2006-12-11 |
| Street Address |
100 E FERGUSON ST STE 608 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472602 | Rebecca Henderson | Counselor | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2012-02-10 |
| 1902407372 | Felica Nicole Burkes | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-11-03 |
| 1790382448 | Megan Montgomery | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-10-06 |
| 1073128401 | Laura Kelly | Occupational Therapist | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-09-11 |
| 1356969950 | Victoria Stokes | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-07-09 |
| 1184244972 | Latonya Michelle Adams | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-04-21 |
| 1093349300 | Melissa Torres | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-25 |
| 1518591171 | Leslie Ranger Wyatt | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-23 |
| 1992338354 | Audrey Jane Gudger | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-13 |
| 1205487253 | Alyce Sellers | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1942808522 | Ivie Massie | Licensed Vocational Nurse | 7101 Waljim St Apt 101, Tyler, TX 75703-4904 | 2020-10-15 |
| 1659978120 | Krescenda Bircher | Licensed Vocational Nurse | 641 Spencer Ln, Tyler, TX 75704-6667 | 2020-10-07 |
| 1932706157 | Pliar Nicole Roland | Licensed Vocational Nurse | 3201 Carter Blvd E, Tyler, TX 75702-1116 | 2020-10-01 |
| 1174130124 | Toni Ruth Quezada | Licensed Vocational Nurse | 11567 19th Ave, Tyler, TX 75708-3205 | 2020-09-24 |
| 1790399467 | Ashaunti Ahmee Njie | Licensed Vocational Nurse | 12418 Kara Lynn Pl, Tyler, TX 75704-8708 | 2020-09-01 |
| 1528671476 | Curnifa Fredrica Harris | Licensed Vocational Nurse | 5100 Sweetbriar Ln Apt 217, Tyler, TX 75703-3847 | 2020-08-28 |
| 1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
| 1891303715 | Jayla Michelle Ward | Licensed Vocational Nurse | 2815 Pollard Dr, Tyler, TX 75701-7112 | 2020-07-16 |
| 1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
| 1750908398 | Quanisha Hicks | Licensed Vocational Nurse | 1717 Shiloh Rd Apt 260, Tyler, TX 75703-2454 | 2020-06-30 |
| Find all providers in TYLER | ||||
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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.