Kristen Domingo

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

228 Matthews Rd
Oakdale, NY 11769-1845

Phone

(917) 886-1505

NPI assigned

Apr 6, 2017

Last updated

Apr 6, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1417480591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MATTHEWS RD.",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691845",
            "telephone_number": "917-886-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MATTHEWS RD",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691845",
            "telephone_number": "917-886-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Dimarzo, LMT
• Lisa A. Dimitri, LCSW
• Arkadiusz N/a Dmochowski, OTA
• Catherine Dolan, NP
• Emily Virginia Dolan, LCSW
• Agnes Marie Drescher, LCSW
• Linda A Dullea
• Heidi Egner, RPA-C
• Britney Eisenzapf, COTA/L
• Allison T Elie, RN

• Specialist in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.