Michele Lee Dominick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN290055 Issued in PA

Practice address

Medmark Treatment Center
1037 Compass Circle
Greensburg, PA 15601

Phone

(724) 834-1144

NPI assigned

Jan 31, 2023

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

• Michele Lee Bolin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1437855699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SHAWNEE LN",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156583635",
            "telephone_number": "724-963-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDMARK TREATMENT CENTER",
            "address_2": "1037 COMPASS CIRCLE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-834-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICK",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN290055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "BOLIN",
            "middle_name": "LEE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John N Dittmar, LPC
• Katherine Dixon, DPT
• Docs 4 Home
• Nicole Dolhi, MSW, LSW
• Kimberly Ann Dombroski, PTA
• John Domit, M.D.
• Luke Doney, DO
• Laurene J Donnelly, CRNP
• Patrick Eugene Donnelly, DMD, PHD
• Ted Robert Dorfman, PHD

• Licensed Practical Nurse in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.