Active NPI
Jessica Dominguez, CPNP
- Pediatric Clinical Nurse Specialist
- El Paso, TX
National Provider Identifier
1316344385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- AP126946
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP126946 | TX | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pininos Pediatric Services | Current | Accepting new patients | |
| Pininos Urgent Care Services | Current | 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
- 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.
-
- Pediatrics Physician
- El Paso, TX
- NPI 1336692490
-
- Urgent Care Clinic/Center
- El Paso, TX
- NPI 1366074361
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.