Individual provider Active NPI

Martin Domond, RN

  • General Practice Registered Nurse
  • Delray Beach, FL
National Provider Identifier
1023682770
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
9184414 Issued in FL
Practice address
900 Linton Blvd Ste 202
Delray Beach, FL 33444-8165
Phone
(954) 683-4394
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 9184414 FL Primary

Addresses

Primary practice location

900 Linton Blvd Ste 202
Delray Beach, FL 33444-8165

Mailing address

900 Linton Blvd Ste 202
Delray Beach, FL 33444-8165
Phone (954) 683-4394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9184414FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1023682770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINTON BLVD STE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448165",
            "telephone_number": "954-683-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LINTON BLVD STE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448165",
            "telephone_number": "954-683-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOND",
        "first_name": "MARTIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9184414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.