Active NPI
Allison Elizabeth Reed Dominguez, RN
- Neonatal Nurse Practitioner
- Austin, TX
National Provider Identifier
1144086539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 1156115
- Practice address
- 12221 N Mopac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-2900
- NPI assigned
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 879471 | TX | |
| Neonatal Nurse Practitioner | 363LN0000X | 1156115 | TX | Primary |
Addresses
Primary practice location
12221 N Mopac Expy
Austin, TX 78758-2401
Mailing address
3929 Jennie Marie Dr
Pflugerville, TX 78660-2377
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879471 | TX | MD | Neonatal Intensive Care Registered Nurse |
| 1156115 | TX | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1144086539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 JENNIE MARIE DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MOPAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "ALLISON",
"middle_name": "ELIZABETH REED",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TX",
"license": "879471",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "1156115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.