Beth Robin Domino, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11000073 Issued in FL

Practice address

3914 E State Road 64
Bradenton, FL 34208-9059

Phone

(941) 216-3800

Fax

(941) 216-3703

NPI assigned

Nov 14, 2018

Last updated

Feb 9, 2022By the provider in NPPES

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care Physicians of Tampa Bay LLCGroup PAC ID 6002344272, 8 clinicians

Heal Precisely of Northside LLCGroup PAC ID 9537544853, 10 clinicians

WT Health of Florida LLCGroup PAC ID 5294268124, 9 clinicians

Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaton Podiatry Center Inc

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1366626541

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Heal Precisely of Northside LLC

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1093433674
  Medicare reassignment Care Compare group NPD
• Wound Care Physicians of Tampa Bay LLC

  • Wound Care Registered Nurse
  • St Petersburg, FL
  • NPI 1245056522
  Medicare reassignment Care Compare group NPD
• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106
  Medicare reassignment Care Compare group NPD
• Heal Precisely of Tampa Bay LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1588348262
  Medicare reassignment NPD
• Saberi Advanced Wound Care LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1578264818
  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1295204741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINO",
        "first_name": "BETH",
        "middle_name": "ROBIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000073",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11000073",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11000073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Neil Dolin, MD
• Tenzing Dolkar
• Elena Dolskaya, M.D
• Jay Vincent Dominguez, MD
• Celine Dominic, R.D.H.
• Donald B. Cummings D.D.S., P.a.
• Derek Christopher Donaldson, PHARMD
• Jennifer Donan
• Sylvia Marie Donis Espada, PHARMD
• Charlene Donnelly, PT

• Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.

Verify at the official NPI Registry.