Active NPI
Lovelyn Caluya Dominguez, CRNP
- Acute Care Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R156404
- Practice address
- 500 Upper Chesapeake Dr
Bel Air, MD 21014-4324 - Phone
- (443) 643-1000
- NPI assigned
- Mar 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R156404 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | R156404 | MD | Primary |
Addresses
Primary practice location
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Mailing address
3527 Fieldcreek Way
Parkville, MD 21234-3411
Phone (443) 519-9027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808
6535 N Charles St
Baltimore, MD 21204-5822
6565 N Charles St
Baltimore, MD 21204-6808
6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658
6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123
6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658
6701 N Charles St
Baltamore, MD 21204-6808
6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808
6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131
Hospital & facility affiliations
- Greater Baltimore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R156404 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Medical Services, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Acute Care | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients |
Locations
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400
6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1316405772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 FIELDCREEK WAY",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212343411",
"telephone_number": "443-519-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-643-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "LOVELYN",
"middle_name": "CALUYA",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R156404",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R156404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.