Individual provider Active NPI

Dominique Shy, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1144766676
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030516 Issued in OH
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Jan 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN432341 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0030516 OH Primary

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

1326 Winston Rd
South Euclid, OH 44121-2516
Phone (216) 324-9879

Other names 1

  • Dominique Floyd Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dominique.shy@237407481626628.direct.elationemr.com Direct CareBridge Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220422002122 OH Practitioner - Nurse Practitioner 0244627131 Reassigns benefits to 3 organizations
I20250131002791 TX Practitioner - Nurse Practitioner 0244627131 Reassigns benefits to 1 organization
I20250204000470 KY Practitioner - Nurse Practitioner 0244627131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN432341OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Jun 1, 2022 Accepting new patients
Molina Care Connections, LLC. CurrentSince Oct 21, 2024 Accepting new patients
Signify Health, LLC CurrentSince Apr 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Summit Medical Group, PLLC PastSince May 15, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1615 Morse Rd
Columbus, OH 43229
Phone (614) 681-1100

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

Interoperability endpoints

  • Direct secure messaging: ms_dshy1@landmarkhealth-direct.org
  • Direct secure messaging: dominique.shy@237407481626628.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1144766676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 WINSTON RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212516",
            "telephone_number": "216-324-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHY",
        "first_name": "DOMINIQUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN432341",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominique.shy@237407481626628.direct.elationemr.com",
            "affiliation": "Y",
            "endpointDescription": "Carebridge Medical Group",
            "affiliationName": "CareBridge Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Great Circle Rd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "FLOYD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.