Diane Domingo-Nakasone

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

65494 Issued in HI

Practice address

98-1562 Hoomahilu St
Pearl City, HI 96782-2323

Phone

(808) 783-9733

NPI assigned

Apr 17, 2019

Last updated

Apr 17, 2019By the provider in NPPES

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

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1043873755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1562 HOOMAHILU ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822323",
            "telephone_number": "808-783-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1562 HOOMAHILU ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822323",
            "telephone_number": "808-783-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO-NAKASONE",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "65494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu7
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu8
• Mark Anthony E. Devera
• Diamond Head Dental Care PCG Corp (Diamond Head Dental Care)
• Joseph Lincoln Diaz Jr.
• Chad Domingo
• John Cornelius Donkervoet, PH.D.
• Brian Joseph Dossantos, L.AC, LMT
• Dr. Ira Fujisaki LLC
• Dreamtect Dental LLC

• Registered Nurse in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.