Johanne Richard Dominique, DNP, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11005018 Issued in FL

Practice address

7900 NW 27TH Ave Ste 50
Miami, FL 33147-4909

Phone

(305) 758-0591

NPI assigned

Nov 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johanne.dominique@398008301912068.direct.elationemr.com

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.

• Central Florida Adult Medicine Inc

  • General Practice Physician
  • Miami Gardens, FL
  • NPI 1245742261
  NPD (past)
• Preferred Family Care, Inc

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1780933820
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1043855729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW 97TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253685",
            "telephone_number": "786-210-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE STE 50",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474909",
            "telephone_number": "305-758-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 NW 183rd St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331694203",
            "country_code": "US",
            "telephone_number": "305-760-2289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINIQUE",
        "first_name": "JOHANNE",
        "middle_name": "RICHARD",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2022-09-23",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105483200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic C Maggio MD PA
• Dominic C. Maggio, MD, LLC
• Jerry Lorren Dominic, MD(MBBS IN INDIA)
• Dominique Farinas, MSN, FNP-BC, Inc.
• Claudine Dominique
• Ronette Duverny Dominique, PHARM.D
• Ioana Alexandra Domnaru, MA49003
• Don Bryan O.D.P.a.
• Annike Don-Levy, APRN
• Christina Kerdel Don, PA-C

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.