Individual provider Active NPI

Jessica Dominguez, CPNP

  • Pediatric Clinical Nurse Specialist
  • El Paso, TX
National Provider Identifier
1316344385
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
AP126946 Issued in TX
Practice address
4321 N Mesa St Ste B
El Paso, TX 79902-1105
Phone
(915) 996-9700
Fax
(915) 260-8167
NPI assigned
Nov 19, 2014
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X AP126946 TX Primary

Addresses

Primary practice location

4321 N Mesa St Ste B
El Paso, TX 79902-1105

Mailing address

4321 N Mesa St Ste B
El Paso, TX 79902-1105
Phone (915) 996-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126946TXMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pininos Pediatric Services CurrentSince Mar 22, 2020 Accepting new patients
Pininos Urgent Care Services CurrentSince Feb 9, 2020 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Locations

4321 N Mesa St
Ste B
El Paso, TX 79902
Phone (915) 966-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGHBD/Endpoint/FHGHBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1316344385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021105",
            "telephone_number": "915-996-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021105",
            "telephone_number": "915-996-9700",
            "fax_number": "915-260-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JESSICA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "AP126946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.