Christina Domicello

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3237931 Issued in NY

Practice address

1505 Shoecraft Rd
Penfield, NY 14526-9707

Phone

(585) 500-5142

NPI assigned

Oct 17, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1043681935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHOECRAFT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269707",
            "telephone_number": "585-500-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHOECRAFT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145269707",
            "telephone_number": "585-500-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMICELLO",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3237931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaya Diskind, PA
• Michael Dix, D.P.T.
• Kaitlyn Marie Dobbertin, DPT, PT
• Jeannine L. Dolan, M.D.
• Theresa Dolph
• Dr Bruce R Hankin & Associates
• Dr. Verrone and Dr. Peters, O.D., P.C.
• Dr. Verrone and Dr. Peters, O.D., P.C.
• Jamie Drooz, LMHC
• Donald Duckles, MD

• Licensed Practical Nurse in Penfield, NY
• Providers in Penfield, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.