Active NPI
Tiffany T. Dominguez, RN
- Registered Nurse
- Odessa, TX
National Provider Identifier
1245134717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 789370
- Practice address
- 612 N Washington Ave
Odessa, TX 79761-4436 - Phone
- (432) 332-9263
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 789370 | TX | Primary |
Addresses
Primary practice location
612 N Washington Ave
Odessa, TX 79761-4436
Mailing address
411 S Nedderman Drive
Arlington, TX 76019-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1245134717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S NEDDERMAN DRIVE",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760190001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N WASHINGTON AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614436",
"telephone_number": "432-332-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "TIFFANY",
"middle_name": "T.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "789370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.