Active NPI
Dominique A Uva, FNP-C
- Family Nurse Practitioner
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP171181
- Practice address
- 600 Roe Ave
Arnot Ogden Medical Center
Elmira, NY 14901 - Phone
- (607) 737-4100
- Fax
- (607) 271-7080
- NPI assigned
- Jun 19, 2014
- Last updated
- Apr 1, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 338763 | NY | |
| Family Nurse Practitioner | 363LF0000X | 338763 | NY | |
| Family Nurse Practitioner | 363LF0000X | CNP171181 | ME | Primary |
Addresses
Primary practice location
600 Roe Ave
Arnot Ogden Medical Center
Elmira, NY 14901
Mailing address
5941 Farrington Road
Cicero, NY 13039
Phone (315) 935-3882
Other practice location 1
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Phone (607) 737-7770
Other practice location 2
111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 779-2456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399067 | Medicaid | NY | |
| 03990672 | Medicaid | NY |
Other names 1
- Dominique A Guadalupe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113
181 Franklin Health CMNS
Farmington, ME 04938-6144
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
50 Columbia St
Suite 62
Bangor, ME 04401-6331
Phone (407) 850-8199
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.94 of 100
- Quality
- 47.72
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 77.69
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.59
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338763 | NY | MD | Obstetrics & Gynecology Physician |
| CNP171181 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Navigating Wellness Primary Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| North Country Orthopaedic Group PC | Family | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainely Diabetes and Endocrine Care PLLC | Family | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Evergreen Senior Healthcare of Maine, LLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients |
Locations
108 Anthony Ave
Augusta, ME 04330
Phone (207) 544-8411
50 Columbia St
Ste 62
Bangor, ME 04401
Phone (407) 850-8199
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
1571 Washington St
Ste 201
Watertown, NY 13601
Phone (315) 782-1650
Interoperability endpoints
- duva244649@direct.mmc.mainehealth.org
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 14
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.
-
- Family Nurse Practitioner
- Monmouth, ME
- NPI 1770383887
-
- Nurse Practitioner
- Bangor, ME
- NPI 1316792070
-
- Orthopaedic Surgery Physician
- Watertown, NY
- NPI 1568445344
Family
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Geriatric Medicine (Family Medicine) Physician
- Augusta, ME
- NPI 1841039583
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1558305847
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1316351133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 FARRINGTON ROAD",
"city": "CICERO",
"state": "NY",
"postal_code": "13039",
"telephone_number": "315-935-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROE AVE",
"address_2": "ARNOT OGDEN MEDICAL CENTER",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14901",
"telephone_number": "607-737-4100",
"fax_number": "607-271-7080"
}
],
"practiceLocations": [
{
"address_1": "555 Saint Josephs Blvd",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149013223",
"country_code": "US",
"telephone_number": "607-737-7770",
"fax_number": "607-271-3686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Franklin Health Cmns",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "ME",
"postal_code": "049386144",
"country_code": "US",
"telephone_number": "207-779-2456",
"fax_number": "207-779-2496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UVA",
"first_name": "DOMINIQUE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "338763",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "338763",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP171181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0399067",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03990672",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "GUADALUPE",
"middle_name": "A",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.