Marilyn Domangue, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1173391 Issued in TX

Practice address

601 Juniper Dr
Arlington, TX 76018-1462

Phone

(682) 554-7071

NPI assigned

Apr 16, 2019

Reactivated

Sep 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1194388009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JUNIPER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181462",
            "telephone_number": "682-554-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JUNIPER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181462",
            "telephone_number": "682-554-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANGUE",
        "first_name": "MARILYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "deactivation_date": "2024-08-29",
        "reactivation_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "964560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1173391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Doan-Pham, DO
• Linh N Doan, RPH
• Wendy Huyen Doan, DC
• Christy Sharee Dobbs, M.S., LPC-I
• Ellouise Mildred Dodge, RPH
• Grisel Sulema Dominguez Gonzalez, APRN,FNP-C
• Joann Dominguez, PA-C
• Rocio Maribel Dominguez, M.S., CF-SLP
• Dominion 1 Dental Dental Group PLLC
• Dominion 1 Dental Group PLLC

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.