Dominique Cormier, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1056590 Issued in TX

Practice address

920 E Highway 67 Ste 108
Duncanville, TX 75137-2713

Phone

(469) 421-7330

NPI assigned

Oct 10, 2023

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21486/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Texas Physicians Primary Care, PLLC

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1962800284
  Medicare reassignment NPD
• Total Care Family Practice, LLC

  • General Practice Physician
  • Mesquite, TX
  • NPI 1538442603

  Family

  Medicare reassignment NPD
• Kidsville Pediatrics PLLC

  • Pediatric Critical Care Medicine Physician
  • Mansfield, TX
  • NPI 1689264996
  Medicare reassignment
• Dallas Joint and Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Addison, TX
  • NPI 1356051213
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1033990692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E HIGHWAY 67 STE 108",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E HIGHWAY 67 STE 108",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372713",
            "telephone_number": "469-421-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "DOMINIQUE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conwal Corp (Duncanville Optical)
• Rodney Wayne Cook
• Ed Cooper Jr., CPT
• Tierra Cooper
• Tamara Joy Copeland, CCC-SLP
• Idalie Correa, MPSY, LPA
• Costco Wholesale Corporation (Costco Optical #636)
• Costco Wholesale Corporation (Costco Hearing Aid #636)
• Costco Wholesale Corporation (Costco Pharmacy #636)
• Joseph D Courage, FNP-BC

• Family Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.