Mary Joy Dominguez Balbarino, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7360 Issued in AZ

Practice address

13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629

Phone

(623) 512-4390

Fax

(623) 512-4139

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Joy Padua Dominguez Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Urology LLCGroup PAC ID 9537566930, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryjoy.balbarino.1@15230.direct.athenahealth.com

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.

• Arizona Urology LLC

  • Urology Physician
  • Goodyear, AZ
  • NPI 1770025439

  AZ

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Development of West Phoenix Inc

  • General Acute Care Hospital
  • Goodyear, AZ
  • NPI 1093791170

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1396148508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 N 75TH AVE STE 440",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085968",
            "telephone_number": "623-512-4390",
            "fax_number": "623-512-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "623-512-4390",
            "fax_number": "623-512-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBARINO",
        "first_name": "MARY JOY",
        "middle_name": "DOMINGUEZ",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JOY",
            "last_name": "DOMINGUEZ",
            "middle_name": "PADUA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Badria, O.D.
• Maria Bahena
• Kawana Baines, RN
• Abby Baker, APRN, NP-C
• Balanced Mental Health of Arizona
• Balm of Gilead LLC
• Cathy Balzano, FNP
• Diane M Banet, PHARMD
• Lacy Renae Bangert, LPC
• Banner Physician Specialists Arizona LLC

• All providers in Goodyear, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.

Verify at the official NPI Registry.