Active NPI
Brittany Jean Dominick
- Family Nurse Practitioner
- Redlands, CA
National Provider Identifier
1124978689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95038410
- Practice address
- 350 Terracina Blvd
Redlands, CA 92373-4850 - Phone
- (909) 747-7822
- NPI assigned
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95038410 | CA | Primary |
| Registered Nurse | 163W00000X | 95335605 | CA |
Addresses
Primary practice location
350 Terracina Blvd
Redlands, CA 92373-4850
Mailing address
1508 Barton Rd # 236
Redlands, CA 92373-1410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95335605 | CA | MD | Registered Nurse |
| 95038410 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1124978689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 BARTON RD # 236",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923731410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734850",
"telephone_number": "909-747-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINICK",
"first_name": "BRITTANY",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-02",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95038410",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95335605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.