Erin Domachowski, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005400 Issued in PA

Practice address

2701 E Grauwyler Rd Ste T1-1126
Irving, TX 75061-3414

Phone

(734) 318-1967

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX, AZ, WI, IL, ME, MA, DC, NV, IA, WA, OR, OH, NY, FL, PA, CT, ID, AR19 enrollments

Enrollment records 19

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• TX HMO
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• TX HMO D-SNP
• IL HMO C-SNP

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surely Health, Inc.

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, GA

  Medicare reassignment Care Compare group
• Season Medical Care Ny PC

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1275421810

  Dietitian, Registered

  Medicare reassignment NPD
• Uhling Consulting, LLC

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1609171636

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AR, AZ, CT, DC, FL, GA, IA, ID, IL, MA, ME, NV, OH, OR, PA, WA, WI

  Medicare reassignment
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  PA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1013654318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 LONG POINT DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055415",
            "telephone_number": "734-318-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E GRAUWYLER RD STE T1-1126",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750613414",
            "telephone_number": "734-318-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMACHOWSKI",
        "first_name": "ERIN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctx3 PLLC
• Doctx3 PLLC
• Marta A Doe, M.A. CCC-SLP
• Evelyn Aryeetey Dogbey, CRNP
• Alison Marie Dolce, MD
• Maria F Dominguez Trujillo, APRN
• Mercedes Simone Dominguez, D.D.S.,M.S.,P.A.
• Allen Dong
• Baiyan Dong
• Leila Meredith Doolittle, DC

• Registered Dietitian in Irving, TX
• Providers in Irving, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.