Active NPI
Gabrielle Domanic-Fernandez, FNP-BC, RN
- Family Nurse Practitioner
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1101068
- Practice address
- 701 S Capital of Texas Hwy Ste Q900
West Lake Hills, TX 78746-5263 - Phone
- (512) 324-6970
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1101068 | TX | Primary |
Addresses
Primary practice location
701 S Capital of Texas Hwy Ste Q900
West Lake Hills, TX 78746-5263
Mailing address
840 Lone Peak Way
Dripping Springs, TX 78620-2766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 W University Ave
Suite 700
Georgetown, TX 78628-5355
Phone (512) 691-6520
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
2811 E 2ND St
Seton McCarthy Community Health Cen
Austin, TX 78702-4843
Phone (512) 324-4930
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
701 S Capital of Texas Hwy 900
Seton Family of Doctors at Westlake
West Lake Hills, TX 78746-5243
Phone (512) 324-6970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current | Accepting new patients | |
| Providence Health Alliance | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
3001 S Congress Ave
Ste 100
Austin, TX 78704
Phone (512) 324-4940
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1015 W University Ave
Ste 700
Georgetown, TX 78628
Phone (512) 324-9699
729 Sun Valley Blvd
Ste B
Hewitt, TX 76643
Phone (254) 537-6000
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
7003 Woodway Dr
Ste 311
Woodway, TX 76712
Phone (254) 537-6000
Interoperability endpoints
- gabrielle.domanic-fernandez.1@8363.direct.athenahealth.com
Organizations & group practices 4
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.
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- Austin, TX
- NPI 1588997233
-
- Specialist
- Waco, TX
- NPI 1932210838
-
- Rural Health Clinic/Center
- Waco, TX
- NPI 1336590462
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1013768068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 LONE PEAK WAY",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786202766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S CAPITAL OF TEXAS HWY STE Q900",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465263",
"telephone_number": "512-324-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANIC-FERNANDEZ",
"first_name": "GABRIELLE",
"credential": "FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1101068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.