Individual provider Active NPI

Dawn Domenico, CRNA

  • Certified Registered Nurse Anesthetist
  • Manchester, NH
National Provider Identifier
1457381287
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
060426-23 Issued in NH
Practice address
100 McGregor St
Catholic Medical Center
Manchester, NH 03102
Phone
(603) 660-3552
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 060426-23 NH Primary
Certified Registered Nurse Anesthetist 367500000X 649413 TX

Addresses

Primary practice location

100 McGregor St
Catholic Medical Center
Manchester, NH 03102

Mailing address

100 McGregor St
Catholic Medical Center
Manchester, NH 03102
Phone (603) 660-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040421001557 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022004407 Reassigns benefits to 1 organization
I20140912000907 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022004407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Denali Anesthesia LLCGroup PAC ID 2567455678, 25 clinicians

Practice addresses (Care Compare)

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 675-2216

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1257

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anchorage Anesthesia Medical Group, P.C. CurrentSince Dec 29, 2020 Accepting new patients
Anesthesia Care Associates, PC CurrentSince Jun 14, 2014 Accepting new patients
Denali Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2019 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
University Hospitals Medical Group Inc PastSince Dec 29, 2020 Accepting new patients
Anesthesia Care Group PC PastSince Apr 16, 2009 Accepting new patients
Stratham Anesthesia Associates PLLC Past Accepting new patients

Locations

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1457381287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "CATHOLIC MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-660-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "CATHOLIC MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-660-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENICO",
        "first_name": "DAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "060426-23",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "649413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.