Shali D Dominguez
Individual provider Active NPI Community Health Worker · Torrington, WY
NPI 1215200068 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1215200068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 501 Albany Ave
Torrington, WY 82240-1503 - Phone
- (307) 532-4091
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
501 Albany Ave
Torrington, WY 82240-1503
Mailing address
501 Albany Ave
Torrington, WY 82240-1503
Phone (307) 532-4091
Other providers in Torrington, WY
- Matthew Ryan Cross
- Jaylene M Cunningham
- Janelle Nadean Day
- Diversified Services Inc.
- Diversified Services, Inc
- Veronica Douglass
- Dr Taryn Kilty LLC
- Heidi Edmunds
- Erschabek Chiropractic
- Jerry L Erschabek
All providers in Torrington, WY · Community Health Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.