Dominique Mbachie, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1016983 Issued in DC

Practice address

7619 Little River Tpke
Suite 6000
Annandale, VA 22003-2625

Phone

(703) 752-8700

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dominica Mbachie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Divine Oracle Community Health Inc.

  • Developmental Disabilities Clinic/Center
  • Washington, DC
  • NPI 1538938428
  NPD Authorized official

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1346651981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 LITTLE RIVER TPKE",
            "address_2": "SUITE 6000",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032625",
            "telephone_number": "703-752-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 LITTLE RIVER TPKE",
            "address_2": "SUITE 6000",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032625",
            "telephone_number": "703-752-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBACHIE",
        "first_name": "DOMINIQUE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1016983",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R188756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINICA",
            "last_name": "MBACHIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert George Matthews, MD
• Martha Marie Maturi, M.D.
• Abbey Leigh May, L.P.C.
• Lauren Ruth Mazel, MS, OTR/L
• Donna Mazloomdoost, MD
• Thomas Ambrose McCabe, MD
• Camille Eunice A McCain, DPT
• Kathleen McCracken, LMFT
• Patricia McDonald, WOMEN'S HEALTH NP/CE
• Alan Wayne McFarland, PHD

• Registered Nurse in Annandale, VA
• Providers in Annandale, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.