Dominique Julie Heriveaux, R.N.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

45010 Issued in FL

Practice address

10201 Hammocks Blvd # 470
Suite 153
Miami, FL 33196-4712

Phone

(786) 488-5955

Fax

(305) 380-0756

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093862377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD # 470",
            "address_2": "SUITE 153",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964712",
            "telephone_number": "786-488-5955",
            "fax_number": "305-380-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD # 470",
            "address_2": "SUITE 153",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964712",
            "telephone_number": "786-488-5955",
            "fax_number": "305-380-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERIVEAUX",
        "first_name": "DOMINIQUE",
        "middle_name": "JULIE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "45010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Miami, FL
• Providers in Miami, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.