Individual provider Active NPI

Gabrielle Domanic-Fernandez, FNP-BC, RN

  • Family Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1013768068
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1101068 Issued in TX
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

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003190 TX Practitioner - Nurse Practitioner 5092257410 Reassigns benefits to 2 organizations

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
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

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

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince May 13, 2024 Accepting new patients
Providence Health Alliance CurrentSince May 13, 2024 Accepting new patients
Seton Family of Doctors CurrentSince May 13, 2024 Accepting new patients
Seton Family of Doctors CurrentSince May 13, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.