NPIMap

Individual provider Active NPI

Zechariah Paolo Martinez Dominguez, ARNP

  • Family Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1124569751
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9351396 Issued in FL
Practice address
4421 Sun N Lake Blvd Ste C
Sebring, FL 33872
Phone
(863) 382-9600
Fax
(863) 382-0107
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt Inc 100 clinicians

Practice addresses (Care Compare)

200 S Scenic Hwy
Frostproof, FL 33843-2125
Phone (863) 453-3121

4421 Sun N Lake Blvd
Suite B
Sebring, FL 33872-2172
Phone (863) 382-2225

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
  • Adventhealth Home Health Home health agency, Sebring, FL, CCN 107345
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Centerwell Home Health Home health agency, Winter Haven, FL, CCN 107534
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Wauchula Hospital, Wauchula, FL, CCN 101300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829002311 FL Practitioner - Nurse Practitioner 7214200179 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9351396FLMDFamily Nurse Practitioner

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 6, 2019 Accepting new patients
Thakkar Patel & Avalos MD'S LLC CurrentSince Jun 1, 2017 Accepting new patients
Adventist Health System-Sunbelt Inc Family CurrentSince Jul 16, 2018 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 16, 2018 Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients

Locations

200 S Scenic Hwy
Frostproof, FL 33843
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

4421 Sun N Lake Blvd
Ste B
Sebring, FL 33872
Phone (863) 382-9600

4421 Sun N Lake Blvd
Ste C
Sebring, FL 33872
Phone (863) 382-9600

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: zdominguez617808@adventhealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9351396 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4421 Sun N Lake Blvd Ste C
Sebring, FL 33872

Mailing address

4421 Sun N Lake Blvd Ste C
Sebring, FL 33872-2172
Phone (863) 382-9600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2018.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1124569751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 SUN N LAKE BLVD STE C",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722172",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 SUN N LAKE BLVD STE C",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ZECHARIAH PAOLO",
        "middle_name": "MARTINEZ",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9351396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.