COURTNEY R DOMINGO (NPI# 1972996841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972996841 |
| Entity Type | Individual |
| Full Name | COURTNEY R DOMINGO |
| Other Name | COURTNEY T RUBRIGHT |
| Credential | WHNP-BC |
| Practice Address |
16611 S 40th St Suite 180 Phoenix AZ 85048-0562 |
| Mailing Address |
2545 W Frye Rd Suite 9 Chandler AZ 85224-6273 |
| Practice Telephone | 4807852100 |
| Practice Fax Number | 4807852111 |
| Mailing Telephone | 4805054258 |
| Mailing Fax Number | 4802758346 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP7646 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16611 S 40TH ST SUITE 180 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-0562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373971 | Khristina M Ramirez | Specialist | 16611 S 40th St, Suite 160, Phoenix, AZ 85048-0562 | 2005-11-15 |
| 1831557321 | Arizona Allergy and Asthma Specialists P C | Clinic/Center | 16611 S 40th St, Suite 170, Phoenix, AZ 85048-0562 | 2016-01-29 |
| 1295134914 | Brian Bartow | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2014-08-19 |
| 1033532692 | Tara N. Becher | Physician Assistant | 16611 S 40th St, Suite 100, Phoenix, AZ 85048 | 2014-01-31 |
| 1346682119 | Audra Lynn Zachman | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048 | 2013-07-22 |
| 1760769020 | Kaylene M Christensen | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-11-14 |
| 1871872267 | Peter G Gorman | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-08-16 |
| 1730467960 | Jenna Leigh Salber | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2011-07-21 |
| 1639485105 | Larissa E Shaps | Physical Therapist | 16611 S 40th St, Suite 130, Phoenix, AZ 85048-0562 | 2010-08-23 |
| 1225359946 | Holly L Campbell | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1437442076 | Mary Franice Dunn | Nurse Practitioner | 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 | 2011-05-16 |
| 1831418763 | Pamela Barbour Peat | Nurse Practitioner | 3125 N 32nd St Ste 200, Phoenix, AZ 85018-6218 | 2010-05-17 |
| 1851505887 | Jennifer Spiser Woodruff | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2007-05-09 |
| 1679793780 | Sherry Lee Gorslin | Nurse Practitioner | 9303 N 7th St, Ste 4, Phoenix, AZ 85020 | 2007-04-30 |
| 1497876056 | Bonnie Rose Hare | Nurse Practitioner | 1661 E. Camelback Road, Ste 160, Phoenix, AZ 85016 | 2007-04-02 |
| 1750468138 | Traci Rae Aldridge | Nurse Practitioner | 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2006-11-01 |
| 1538190269 | Debra Laseter | Nurse Practitioner | 2255 N 44th St, Suite #200, Phoenix, AZ 85008-3293 | 2006-07-05 |
| 1588665061 | Joyce Morgan | Nurse Practitioner | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2005-08-09 |
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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.