Nicole Renee Domzalski

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6832 Issued in AZ

Practice address

3200 N. Dobson Rd
Ste F-2
Chandler, AZ 85224-8522

Phone

(480) 722-1300

Fax

(480) 422-3824

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arion Care Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Chandler, AZ
  • NPI 1174173579
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1508172636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N. DOBSON RD",
            "address_2": "STE F-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249611",
            "telephone_number": "480-634-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N. DOBSON RD",
            "address_2": "STE F-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248522",
            "telephone_number": "480-722-1300",
            "fax_number": "480-422-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 N Drinkwater Blvd Ste 14-15",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516492",
            "country_code": "US",
            "telephone_number": "480-634-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMZALSKI",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6832",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kudzai R Dombo, M.D.
• Doriana Dominguez Acosta
• Ana Dominguez Chavez
• Carlos Valencia Dominguez
• Claudia Dominguez
• Kiana Donahue
• Jessica Doney, MD
• Angela Dong, PT
• Tia Alice Donohue
• Camille J Donque, FNP

• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.