Individual provider Active NPI

Akemy S Dominguez, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1437652799
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9302161 Issued in FL
Practice address
135 San Lorenzo Ave Ste 550
Coral Gables, FL 33146-1880
Phone
(305) 665-8188
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9302161 FL Primary

Addresses

Primary practice location

135 San Lorenzo Ave Ste 550
Coral Gables, FL 33146-1880

Mailing address

15551 SW 155TH CT
Miami, FL 33187-0710
Phone (786) 333-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20191219000862 FL Practitioner - Nurse Practitioner 4880028182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9302161FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

135 San Lorenzo Ave
Ste 550
Coral Gables, FL 33146
Phone (305) 665-8188

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8525 SW 92nd St
Ste D13
Miami, FL 33156
Phone (305) 270-3562

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1437652799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15551 SW 155TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331870710",
            "telephone_number": "786-333-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SAN LORENZO AVE STE 550",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461880",
            "telephone_number": "305-665-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "AKEMY",
        "middle_name": "S",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9302161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.