Individual provider Active NPI

Donna L Dominguez, A.P.N.

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1255386181
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN00537 Issued in NV
Practice address
75 Pringle Way
Suite 705
Reno, NV 89502-1464
Phone
(775) 329-0333
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN00537 NV Primary

Addresses

Primary practice location

75 Pringle Way
Suite 705
Reno, NV 89502-1464

Mailing address

75 Pringle Way
Suite 705
Reno, NV 89502-1464
Phone (775) 329-0333

Other identifiers 3

IdentifierTypeStateIssuer
002416003MedicaidNV
880167036A018OtherNVTRICARE
NV6094OtherNVBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000307 NV Practitioner - Nurse Practitioner 4385810811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Infectious Diseases Parker and Yee ApcGroup PAC ID 7911022520, 4 clinicians

Practice addresses (Care Compare)

75 Pringle Way
Suite 705
Reno, NV 89502-1472
Phone 77532903333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN00537NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Infectious Diseases Parker & Yee Apc CurrentSince Oct 27, 2011 Accepting new patients
Sierra Infectious Disease PastSince Oct 27, 2011 Accepting new patients

Locations

5488 Reno Corporate Dr
Reno, NV 89511

75 Pringle Way
Ste 705
Reno, NV 89502
Phone (775) 329-0333

5458 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0333

5458 Reno Corporate Dr
Bldg 5
Reno, NV 89511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1255386181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 705",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021464",
            "telephone_number": "775-329-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 705",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021464",
            "telephone_number": "775-329-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN00537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002416003",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "880167036A018",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV6094",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.