Active NPI
Donna L Dominguez, A.P.N.
- Family Nurse Practitioner
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN00537
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002416003 | Medicaid | NV | |
| 880167036A018 | Other | NV | TRICARE |
| NV6094 | Other | NV | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN00537 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Infectious Diseases Parker & Yee Apc | Current | Accepting new patients | |
| Sierra Infectious Disease | Past | 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.
-
- Specialist
- Reno, NV
- NPI 1174725410
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- Infusion Therapy Clinic/Center
- Reno, NV
- NPI 1285171249
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.