Dominga Taveras

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

200976 Issued in RI

Practice address

626 Broad St
Central Falls, RI 02863-2835

Phone

(401) 728-5920

Fax

(401) 724-5550

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Progreso Latino Inc

  • Voluntary or Charitable Agency
  • Central Falls, RI
  • NPI 1588366348
  NPD
• Maxim Healthcare Services Inc

  • Home Health Agency
  • Greeneville, TN
  • NPI 1013012053
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1245924968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632835",
            "telephone_number": "401-728-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632835",
            "telephone_number": "401-728-5920",
            "fax_number": "401-724-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "DOMINGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "200976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Smeaton
• Maria Belen Suastegui Mata
• Elizabeth Sweetland
• Marlene Tabor, RD
• Linda Tainsh, REGISTEERED NURSE
• Emily Caroline Thomas, DNP
• Nindi Tiemo, APRN
• Ronya Denise Traynham
• Elena Valentine
• Brianna Van Gyzen, COTA/L

• Community Health Worker in Central Falls, RI
• Providers in Central Falls, RI by specialty
• Community Health Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.