Dominique Yvette Lydia, R.N

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

939045 Issued in TX

Practice address

3303 W Illinois Ave Ste 22
Midland, TX 79703-6232

Phone

(432) 681-7613

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dominique Yvette Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Midland

  • Public Health or Welfare Agency
  • Midland, TX
  • NPI 1699959569
  NPD (past)
• City of Midland- Health

  • Public Health or Welfare Agency
  • Midland, TX
  • NPI 1447505342
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1164913059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W ILLINOIS AVE STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036232",
            "telephone_number": "432-681-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W ILLINOIS AVE STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036232",
            "telephone_number": "432-681-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDIA",
        "first_name": "DOMINIQUE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "939045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "ANDERSON",
            "middle_name": "YVETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eliseo Luna, LVN
• Courtney Luoma
• Luxottica of America Inc (Oakley B190)
• Luxottica Retail North America Inc (Sears Optical #C0230)
• Lyden C Odukwu MD PA (Midland Family Care)
• Wendi Michelle Lyle, RN
• Rachel Lynch, M.S., CCC-SLP
• Dwayne Mack
• Paula Shantel Alexis Mackey, PSY.D.
• Travis Leonard Maclin III, PA-S

• Community Health Registered Nurse in Midland, TX
• Providers in Midland, TX by specialty
• Community Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.